Macey'S Pharmacy #3

LBN: Maceys Inc
Macey'S Pharmacy #3 is an health care organization with primary practice located at 1402 N State St , Provo UT 84604-2415. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Maceys Inc can be contacted via phone (801) 377-0307, or through Hanson, Shawna K via phone (801) 978-8309.

Contact Information

Primary practice address
1402 N State St Provo UT 84604-2415
Phone: (801) 377-0307
Fax: (801) 377-3242
Website:
Map and Directions
Authorized official contact:
Name: Hanson, Shawna K
Phone: (801) 978-8309

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 379792-1703 Utah

Profile Details

NPI number 1083723217
LBN Legal business name Maceys Inc
DBA Doing business as Macey'S Pharmacy #3
Authorized official Hanson, Shawna K
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Sep 24th, 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 1083723217 NPPES
Utah MEDICAID 870475597022

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