Organization
MACEYS INC
Active
Other names
Fresh Market Pharmacy #2367, Maceys Inc. #1061, Fresh Market Pharmacy #2367
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA KIP HANSON (DIRECTOR OF PHARMACY)
(801) 978-8309
Entity
Organization
Contact information
Practice address
1825 W 4700 S, TAYLORSVILLE, UT 84129-1103
(801) 964-2626
(801) 965-8005
Mailing address
PO BOX 26908, SALT LAKE CITY, UT 84126-0908
(801) 978-8225
(801) 978-8634
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
7442348-1703
UT
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073847323
—
UT
01
—
2121836
PK
—
Enumeration date
09/18/2009
Last updated
02/21/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us