| NPI | 1811221047 |
|---|---|
| Doing Business As | FRESH MARKET PHARMACY #2365 |
| Entity Type | Organization |
| Authorized Contact | SHAWNA HANSON Director, Pharmacy Operations 801-978-8309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: UT 7442340-1703) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2019-09-24 |