| NPI | 1083723142 |
|---|---|
| Doing Business As | MACEY'S PHARMACY #0962 |
| Entity Type | Organization |
| Authorized Contact | SHAWNA KIP HANSON Director Of Pharmacy 801-978-8309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-01-10 |