Organization
ASSOCIATED FRESH MARKETS INC
Active
Other names
Fresh Market Pharmacy #2382
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA HANSON PHARMD (DIRECTOR, PHARMACY OPERATIONS)
(801) 978-8309
Entity
Organization
Contact information
Practice address
2044 HARRISON BLVD, OGDEN, UT 84401-0739
(801) 393-5270
(801) 334-6567
Mailing address
PO BOX 26908, SALT LAKE CITY, UT 84126-0908
(801) 978-8225
(801) 978-8634
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
7442353-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528391836
—
UT
01
—
2121992
PK
—
Enumeration date
09/18/2009
Last updated
09/24/2019
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