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General NPI Number Information
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NPI Number | 1225400708
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Entity Type | Organization
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Legal Business Name | LIN'S SUPERMARKETS INC
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Dates
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Enumeration Date | 10/23/2015
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Last Update Date | 09/24/2019
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Provider Practice Location Address
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Address Line | 2928 E MALL DRIVE
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City | ST GEORGE
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State | UT
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Zip | 84790
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Country | US
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Telephone | 435-773-6801
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Fax | 435-773-6811
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Provider Business Mailing Address
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Address Line | PO BOX 26417
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City | SALT LAKE CITY
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State | UT
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Zip | 84126-0417
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Country | US
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Telephone | 801-978-8699
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Fax | 801-978-8634
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | MRS. SHAWNA KIP HANSON
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Credential | RPH
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Telephone | 801-978-8309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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