Organization
DICKS SUPERMARKETS INC
Active
Other names
Dick's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA K HANSON (DIRECTOR OF PHARMACY OPERATIONS)
(801) 978-8309
Entity
Organization
Contact information
Practice address
84 W. PARRISH LANE, CENTERVILLE, UT 84014-1822
(801) 298-2676
(801) 298-2566
Mailing address
PO BOX 26417, SALT LAKE CITY, UT 84126-0417
(801) 978-8225
(801) 978-8634
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5797237-1703
UT
Other
Enumeration date
08/30/2006
Last updated
03/07/2023
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