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General NPI Number Information
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NPI Number | 1407965650
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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 | 08/30/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 187 E 1000 N
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City | SPANISH FORK
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State | UT
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Zip | 84660-1269
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Country | US
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Telephone | 801-798-8832
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Fax | 801-798-8837
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Provider Business Mailing Address
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Address Line | PO BOX 26417
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City | SLC
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State | UT
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Zip | 84126-0417
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Country | US
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Telephone | 801-978-8225
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Fax | 801-978-8634
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY OPERATIONS
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Name | SHAWNA K HANSON
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Credential |
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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 | 4550488-1703
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License Number State | UT
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