Organization
MARKET FRESH INC
Active
Other names
Ephraim Market Fresh Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER MERRILL (PRESIDENT)
(435) 851-0261
Entity
Organization
Contact information
Practice address
475 S MAIN ST, EPHRAIM, UT 84627-4017
(435) 283-0340
(435) 283-0341
Mailing address
475 S MAIN ST, EPHRAIM, UT 84627-4017
(435) 283-0340
(435) 283-0341
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
9508481-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154991
PK
—
Enumeration date
11/06/2015
Last updated
03/11/2016
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