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ASSOCIATED FRESH MARKETS INC NPI 1417280678


NPI Information

NPI: 1417280678
Provider Name: ASSOCIATED FRESH MARKETS INC

Doing Business As: FRESH MARKET PHARMACY #2307

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 46D2017929

Address:
3151 KILBY RD
PARK CITY, UT
ZIP 84098
Phone: (435) 645-7945
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ASSOCIATED FRESH MARKETS INC is a pharmacy in Park City, UT. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. ASSOCIATED FRESH MARKETS INC NPI is 1417280678. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresh Market Pharmacy #2307.

The provider's business location address is:

3151 KILBY RD
PARK CITY, UT
ZIP 84098-309
Phone: (435) 645-7945
Fax: (435) 645-7114

The provider's authorized official is Shawna Hanson .
The authorized official title is Director, Pharmacy Operations and has the following contact phone number (801) 978-8309.

The CLIA number assigned to this NPI record is 46D2017929 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/4/2009 and was last updated on 9/24/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacy7439449-1703UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11417280678MEDICAIDUTAH
22121815OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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