Organization
MACEYS INC
Active
Other names
Macey's Pharmacy #2
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
7859 S 3200 W, WEST JORDAN, UT 84088-5230
(801) 255-7557
(801) 255-4876
Mailing address
PO BOX 26417, SLC, UT 84126-0417
(801) 978-8225
(801) 978-8634
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
379791-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870475597019
—
UT
Enumeration date
08/30/2006
Last updated
03/07/2023
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