| NPI | 1386963593 |
|---|---|
| Other Name | MACEY'S PHARMACY #1064 |
| 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 | 2010-05-27 |
| Last Update Date | 2019-01-16 |