Organization
LIN'S SUPERMARKETS INC
Active
Other names
Lin's Supermarkets Inc #7
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA KIP HANSON (DIRECTOR, PHARMACY OPERATIONS)
(801) 978-8309
Entity
Organization
Contact information
Practice address
760 W PRICE RIVER DR, PRICE, UT 84501-2841
(435) 637-7112
(435) 637-9569
Mailing address
PO BOX 26908, SALT LAKE CITY, UT 84126-0908
(801) 978-8225
(801) 978-8634
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
7442359-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346573656
—
UT
01
—
4611681
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/18/2009
Last updated
09/24/2019
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