Healthcare Provider Details

I. General information

NPI: 1033228150
Provider Name (Legal Business Name): DICKS SUPERMARKETS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84 W. PARRISH LANE
CENTERVILLE UT
84014-1822
US

IV. Provider business mailing address

PO BOX 26417
SALT LAKE CITY UT
84126-0417
US

V. Phone/Fax

Practice location:
  • Phone: 801-298-2676
  • Fax: 801-298-2566
Mailing address:
  • Phone: 801-978-8225
  • Fax: 801-978-8634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number5797237-1703
License Number StateUT

VIII. Authorized Official

Name: SHAWNA K HANSON
Title or Position: DIRECTOR OF PHARMACY OPERATIONS
Credential:
Phone: 801-978-8309