Organization
MACEYS INC
Active
Other names
Macey's Pharmacy #1
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA K HANSON (DIRECTOR PHARMACY OPERATIONS)
(801) 978-8309
Entity
Organization
Contact information
Practice address
880 N STATE ST, OREM, UT 84057-3149
(801) 225-4621
(801) 225-7093
Mailing address
PO BOX 26417, SALT LAKE CITY, UT 84126-0417
(801) 978-8225
(801) 978-8634
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
379790-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870475597005
—
UT
Enumeration date
08/30/2006
Last updated
03/07/2023
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