Organization
MACEYS INC
Active
Other names
Macey's Inc. #1068
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA KIP HANSON (DIRECTOR OF PHARMACY)
(801) 978-8309
Entity
Organization
Contact information
Practice address
3555 W 3500 S, WEST VALLEY CITY, UT 84119-2539
(801) 963-6874
(801) 965-9953
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700119013
—
UT
01
—
2121986
PK
—
Enumeration date
09/18/2009
Last updated
06/11/2021
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