# MACEY'S INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Macey's Pharmacy \#1064
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386963593
- **Authorized official:** SHAWNA KIP HANSON (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (801) 978-8309

## Contact information

- **Practice address:** 1212 E DRAPER PKWY, DRAPER, UT 84020-9097
- **Practice address phone:** (801) 571-1406
- **Practice address fax:** (801) 571-1085
- **Mailing address:** 1850 W 2100 S, SALT LAKE CITY, UT 84119-1304
- **Mailing address phone:** (801) 978-8699
- **Mailing address fax:** (801) 978-8634

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/27/2010
- **Last updated:** 01/16/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1386963593 | — | UT |
| 01 | — | 2125301 | PK | — |