NPI 1083157382 · live from the CMS NPI Registry
Badger Management LLC
Pharmacy, Community/Retail Pharmacy in N Salt Lake, UT. National Provider Identifier 1083157382, active.
NPI record
| NPI | 1083157382 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 725 N Redwood Road, N Salt Lake, UT 84054 |
| Practice phone | 385-322-7900 |
| Mailing address | 505 E 1400 N, Suite 110, Logan, UT 84341 |
| Enumerated | November 18, 2016 |
| Last updated | March 23, 2017 |
| Authorized official | Jonathan Badger, Member/Manager/President/Ao |
| Other names | Lee'S Marketplace - Foxboro Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | 10121455-1703 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.