Organization · Type 2 NPI

Badger Management LLC

Community/Retail Pharmacy · Mountain Green, UT

NPI number 1336996602 Active

Practice location

4935 Old Highway Rd
Mountain Green, UT 84050

Call (435) 774-4150 Map

Fax (435) 774-4166

Mailing address

505 E 1400 N Ste 110
Logan, UT 84341-2459

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

NPI record

NPI: 1336996602
Entity type: Organization (Type 2)
Issued: May 3, 2024
Last updated: May 3, 2024
Status: Active
Subpart: Yes of Badger Management LLC

Other names

Lee's Marketplace- Mt. Green · doing business as
Lee's Marketplace-Mt. Green · doing business as

Authorized official

Crystal Grimes, RPH
Director of Pharmacy
(435) 774-4150

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1336996602

Badger Management LLC's National Provider Identifier is 1336996602, issued on May 3, 2024. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Mountain Green, UT. The record was last updated on May 3, 2024.