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Badger Management LLC — NPI 1336996602, Mountain Green, UT | NPI Central

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NPI 1336996602

OrganizationActive

Badger Management LLC

NPI 1336996602 · Community/Retail Pharmacy · Mountain Green, UT

Provider details

NPI number: 1336996602
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Parent organization: Badger Management LLC
Organization subpart: Yes
Authorized official: Crystal Grimes, Director of Pharmacy(435) 774-4150

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003X
Suppliers

Practice location

4935 Old Highway Rd

Mountain Green, UT 84050

Phone: (435) 774-4150

Fax: (435) 774-4166

Approximate (ZIP-level) locationGet directions

More UT providers

Mailing address

505 E 1400 N Ste 110

Logan, UT 84341-2459

Other names (DBA / former)

Doing business as: Lee'S Marketplace- Mt. Green
Doing business as: Lee'S Marketplace-Mt. Green

Registry dates

Enumerated: 2024-05-03
Last updated: 2024-05-03
Certified: 2024-04-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.