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MACEYS INC NPI 1326371584


NPI Information

NPI: 1326371584
Provider Name: MACEYS INC

Other Name: MACEY'S INC #1058

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 46D1031890

Address:
4530 S HIGHLAND DR
SALT LAKE CITY, UT
ZIP 84117
Phone: (801) 278-5388
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MACEYS INC is a pharmacy in Salt Lake City, UT. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. MACEYS INC NPI is 1326371584. The provider is registered as an organization entity type.
The provider Other Name Is Macey's Inc #1058.

The provider's business location address is:

4530 S HIGHLAND DR
SALT LAKE CITY, UT
ZIP 84117-202
Phone: (801) 278-5388
Fax: (801) 278-1206

The provider's authorized official is Shawna Kip Hanson .
The authorized official title is Director Of Pharmacy and has the following contact phone number (801) 978-8309.

The CLIA number assigned to this NPI record is 46D1031890 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/4/2009 and was last updated on 9/24/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacy7442364-1703UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12121816OTHERPK
21326371584MEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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