<Unavail>

LBN: Lees Marketplace Inc
<Unavail> is an health care organization with primary practice located at 890 S Main St , Heber City UT 84032-2463. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Lees Marketplace Inc can be contacted via phone (435) 654-0414, or through Badger, Jonathan via phone (435) 774-4150.

Contact Information

Primary practice address
890 S Main St Heber City UT 84032-2463
Phone: (435) 654-0414
Fax: (435) 657-1972
Website:
Map and Directions
Authorized official contact:
Name: Badger, Jonathan
Phone: (435) 774-4150

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 9903561-1703 Utah

Profile Details

NPI number 1972530251
LBN Legal business name Lees Marketplace Inc
DBA Doing business as <Unavail>
Authorized official Badger, Jonathan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2006
Last updated Apr 19th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972530251 NPPES
Other 2163879 PK
MEDICAID 870575391001 PK

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