{
"Npi": {
"NPI": "1366573461",
"EntityType": "Organization",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MARKET PHARMACY",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "495 N STATE ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LA VERKIN",
"MailingAddressStateName": "UT",
"MailingAddressPostalCode": "84745-5124",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "435-635-8880",
"MailingAddressFaxNumber": "435-635-1537",
"FirstLinePracticeLocationAddress": "495 N STATE ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LA VERKIN",
"PracticeLocationAddressStateName": "UT",
"PracticeLocationAddressPostalCode": "84745-5124",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "435-635-8880",
"PracticeLocationAddressFaxNumber": "435-635-1537",
"EnumerationDate": "03/08/2007",
"LastUpdateDate": "05/17/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HOLT",
"AuthorizedOfficialFirstName": "CLIFFORD",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "MANAGER / OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "435-635-8880",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "64324271703",
"LicenseNumberStateCode": "UT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}