| NPI | 1083157382 |
|---|---|
| Doing Business As | LEE'S MARKETPLACE - FOXBORO PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JONATHAN BADGER Member/Manager/President/AO 435-774-4150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: UT 10121455-1703) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2017-03-23 |