Organization
MACEYS INC
Active
Other names
Macey's Inc #1058
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA KIP HANSON RPH (DIRECTOR OF PHARMACY)
(801) 978-8309
Entity
Organization
Contact information
Practice address
4530 S HIGHLAND DR, SALT LAKE CITY, UT 84117-4202
(801) 278-5388
(801) 278-1206
Mailing address
1850 W 2100 S, ATTN PHARMACY DEPARTMENT, SALT LAKE CITY, UT 84119-1304
(801) 978-8225
(801) 978-8634
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
7442364-1703
UT
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326371584
—
UT
01
—
2121816
PK
—
Enumeration date
09/04/2009
Last updated
09/24/2019
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