NPI | 1780917930 |
---|---|
Doing Business As | PETERSON'S FRESH MARKET |
Entity Type | Organization |
Authorized Contact | MONTE PETERSON Chairman/Owner 801-254-0761 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 86317321703) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2009-09-04 |
Last Update Date | 2016-11-14 |