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General NPI Number Information
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NPI Number | 1326371584
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Entity Type | Organization
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Legal Business Name | MACEYS INC
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Dates
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Enumeration Date | 09/04/2009
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Last Update Date | 09/24/2019
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Provider Practice Location Address
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Address Line | 4530 S HIGHLAND DR
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City | SALT LAKE CITY
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State | UT
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Zip | 84117-4202
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Country | US
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Telephone | 801-278-5388
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Fax | 801-278-1206
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Provider Business Mailing Address
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Address Line | 1850 W 2100 S ATTN PHARMACY DEPARTMENT
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City | SALT LAKE CITY
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State | UT
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Zip | 84119-1304
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Country | US
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Telephone | 801-978-8225
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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 | 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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 7442364-1703
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License Number State | UT
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