Organization
MACEYS INC
Active
Other names
Macey's Inc #1062
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA KIP HANSON (DIRECTOR OF PHARMACY)
(801) 978-8309
Entity
Organization
Contact information
Practice address
5632 S 900 E, MURRAY, UT 84121-1034
(801) 262-1025
(801) 262-1232
Mailing address
1850 WEST 2100 SOUTH, SALT LAKE CITY, UT 84119-1304
(801) 978-8699
(801) 978-8634
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
7442361-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356674667
—
UT
01
—
2121980
PK
—
Enumeration date
09/18/2009
Last updated
09/13/2019
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