| NPI | 1073847323 |
|---|---|
| Doing Business As | MACEYS INC. #1061 |
| Former Legal Business Name | FRESH MARKET PHARMACY #2367 |
| Doing Business As | FRESH MARKET PHARMACY #2367 |
| Entity Type | Organization |
| Authorized Contact | SHAWNA KIP HANSON Director Of Pharmacy 801-978-8309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: UT 7442348-1703) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2021-02-21 |