<Unavail>

LBN: Peterson Market Llc
<Unavail> is an health care organization with primary practice located at 1784 W 12600 S , Riverton UT 84065-7025. 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. Peterson Market Llc can be contacted via phone (801) 254-0809, or through Peterson, Monte via phone (801) 254-0761.

Contact Information

Primary practice address
1784 W 12600 S Riverton UT 84065-7025
Phone: (801) 254-0809
Fax: (801) 254-5982
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Monte
Phone: (801) 254-0761

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 86317321703 Utah

Profile Details

NPI number 1780917930
LBN Legal business name Peterson Market Llc
DBA Doing business as <Unavail>
Authorized official Peterson, Monte
Entity Organization
Organization subpart 1 No
Enumeration date Sep 4th, 2009
Last updated Nov 14th, 2016 - about 10 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 1780917930 NPPES
Other 2140532 PK

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