Organization
JLSCO LLC
Active
Other names
LEE'S MARKETPLACE - NORTH OGDEN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SHARI BADGER (OWNER)
(435) 774-4150
Entity
Organization
Contact information
Practice address
2645 N WASHINGTON BLVD, NORTH OGDEN, UT 84414
(801) 782-6116
(801) 782-7222
Mailing address
505 E 1400 N STE 110, LOGAN, UT 84341-2459
(435) 774-4150
(435) 774-4166
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
6909518-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2100308
PK
—
Enumeration date
02/28/2007
Last updated
04/20/2017
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