Organization
PAYSON FOOD CORPORATION INC.
Active
Other names
PAYSON MARKET PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD MEASOM PHARM.D (PHARMACY MANAGER)
(801) 465-2343
Entity
Organization
Contact information
Practice address
586 N MAIN ST, PAYSON, UT 84651-3428
(801) 465-2343
(801) 465-0856
Mailing address
586 N MAIN ST, PAYSON, UT 84651-3428
(801) 465-2343
(801) 465-0856
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
332540-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4608521
NCPDP
UT
Enumeration date
06/22/2006
Last updated
01/27/2011
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