Organization · Type 2 NPI

Dicks Supermarkets Inc

Community/Retail Pharmacy · Centerville, UT

NPI number 1033228150 Active

Practice location

84 W. Parrish Lane
Centerville, UT 84014-1822

Call (801) 298-2676 Map

Fax (801) 298-2566

Mailing address

PO Box 26417
Salt Lake City, UT 84126-0417

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	5797237-1703 (UT)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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NPI record

NPI: 1033228150
Entity type: Organization (Type 2)
Issued: Aug 30, 2006
Last updated: Mar 7, 2023
Status: Active

Other names

<unavail>
Dick's Pharmacy · doing business as
Dick's Pharmacy · doing business as

Authorized official

Shawna K Hanson
Director of Pharmacy Operations
(801) 978-8309

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1033228150

Dicks Supermarkets Inc's National Provider Identifier is 1033228150, issued on Aug 30, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Centerville, UT. The record was last updated on Mar 7, 2023.