NPI 1811221047 · live from the CMS NPI Registry
Associated Fresh Markets INC
Pharmacy in Park City, UT. National Provider Identifier 1811221047, active.
NPI record
| NPI | 1811221047 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 1760 Park Ave, Park City, UT 84060 |
| Practice phone | 435-649-6264 |
| Mailing address | Po Box 26908, Salt Lake City, UT 84126 |
| Enumerated | September 21, 2009 |
| Last updated | September 24, 2019 |
| Authorized official | Shawna Hanson, Director, Pharmacy Operations |
| Other names | Fresh Market Pharmacy #2365 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — |
| Pharmacy primary | 333600000X | 7442340-1703 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.