Fresh Market Pharmacy #2367

LBN: Maceys Inc
Fresh Market Pharmacy #2367 is an health care organization with primary practice located at 1825 W 4700 S , Taylorsville UT 84129-1103. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Maceys Inc can be contacted via phone (801) 964-2626, or through Hanson, Shawna Kip via phone (801) 978-8309.

Contact Information

Primary practice address
1825 W 4700 S Taylorsville UT 84129-1103
Phone: (801) 964-2626
Fax: (801) 965-8005
Website:
Map and Directions
Authorized official contact:
Name: Hanson, Shawna Kip
Phone: (801) 978-8309

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 7442348-1703 Utah
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1073847323
LBN Legal business name Maceys Inc
DBA Doing business as Fresh Market Pharmacy #2367
Authorized official Hanson, Shawna Kip
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2009
Last updated Feb 21st, 2021 - about 4 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 1073847323 NPPES
Utah MEDICAID 1073847323
Utah Other 2121836

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