Organization
MARKET PHARMACY
Active
Other names
MARKET PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFFORD HOLT RPH (MANAGER / OWNER)
(435) 635-8880
Entity
Organization
Contact information
Practice address
495 N STATE ST, LA VERKIN, UT 84745-5124
(435) 635-8880
(435) 635-1537
Mailing address
495 N STATE ST, LA VERKIN, UT 84745-5124
(435) 635-8880
(435) 635-1537
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
64324271703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4610766
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/08/2007
Last updated
05/17/2010
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