| NPI | 1386753549 |
|---|---|
| Doing Business As | MACEYS PHARMACY #12 |
| Entity Type | Organization |
| Authorized Contact | SHAWNA K HANSON Director Of Pharmacy Operations 801-978-8309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: UT 5426246-1703) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-03-07 |