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NPI 1417280678 · live from the CMS NPI Registry

Associated Fresh Markets INC

Pharmacy in Park City, UT. National Provider Identifier 1417280678, active.

NPI record

NPI1417280678 Type 2 · organization
StatusActive
Primary specialtyPharmacy 333600000X
Practice location3151 Kilby Rd, Park City, UT 84098
Practice phone435-645-7945
Mailing addressPo Box 26908, Salt Lake City, UT 84126
EnumeratedSeptember 4, 2009
Last updatedFebruary 24, 2025
Authorized officialShawna Hanson, Director, Pharmacy Operations
Other namesMaceys INC #1069

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacy primary333600000X7439449-1703 (UT)
Pharmacy, Community/Retail Pharmacy3336C0003X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.