# MACEYS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Macey's Pharmacy \#5
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275642415
- **Authorized official:** SHAWNA K HANSON (DIRECTOR OF PHARMACY OPERATIONS)
- **Authorized official phone:** (801) 978-8309

## Contact information

- **Practice address:** 972 N MAIN ST, TOOELE, UT 84074-1616
- **Practice address phone:** (435) 843-8821
- **Practice address fax:** (435) 843-0254
- **Mailing address:** PO BOX 26417, SLC, UT 84126-0417
- **Mailing address phone:** (801) 978-8225
- **Mailing address fax:** (801) 978-8634

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 4551508-1703 | UT | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 09/24/2019