Healthcare Provider Details

I. General information

NPI: 1396674875
Provider Name (Legal Business Name): LIN'S SUPERMARKETS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4745 NORTH MINERSVILLE HIGHWAY
ENOCH UT
84721
US

IV. Provider business mailing address

PO BOX 26417
SALT LAKE CITY UT
84126-0417
US

V. Phone/Fax

Practice location:
  • Phone: 435-701-2957
  • Fax: 435-701-2958
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 Number
License Number State

VIII. Authorized Official

Name: CHRIS P SHEARD
Title or Position: VICE PRESIDENT OF PHARMACY
Credential: PHARMD MBA
Phone: 801-978-8312