# MACEYS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Macey's Inc. \#1068
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700119013
- **Authorized official:** SHAWNA KIP HANSON (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (801) 978-8309

## Contact information

- **Practice address:** 3555 W 3500 S, WEST VALLEY CITY, UT 84119-2539
- **Practice address phone:** (801) 963-6874
- **Practice address fax:** (801) 965-9953
- **Mailing address:** PO BOX 26908, SALT LAKE CITY, UT 84126-0908
- **Mailing address phone:** (801) 978-8225
- **Mailing address fax:** (801) 978-8634

## Taxonomy

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

## Other

- **Enumeration date:** 09/18/2009
- **Last updated:** 06/11/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1700119013 | — | UT |
| 01 | — | 2121986 | PK | — |
