Organization
LEES MARKETPLACE INC
Active
Other names
Lee's Marketplace-Heber City Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BADGER (PRESIDENT/CEO)
(435) 774-4150
Entity
Organization
Contact information
Practice address
890 S MAIN ST, HEBER CITY, UT 84032-2463
(435) 654-0414
(435) 657-1972
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
9903561-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2163879
PK
—
05
—
870575391001
—
UT
Enumeration date
06/26/2006
Last updated
04/19/2017
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