Macey'S Pharmacy #1064

LBN: Macey'S Inc
Macey'S Pharmacy #1064 is an health care organization with primary practice located at 1212 E Draper Pkwy , Draper UT 84020-9097. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Macey'S Inc can be contacted via phone (801) 571-1406, or through Hanson, Shawna Kip via phone (801) 978-8309.

Contact Information

Primary practice address
1212 E Draper Pkwy Draper UT 84020-9097
Fax: (801) 571-1085
Website:
Authorized official contact:
Name: Hanson, Shawna Kip

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1386963593
LBN Legal business name Macey'S Inc
DBA Doing business as Macey'S Pharmacy #1064
Authorized official Hanson, Shawna Kip
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2010
Last updated Jan 16th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386963593 NPPES
Other 2125301 PK
MEDICAID 1386963593 PK

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