NPI | 1881119469 |
---|---|
Doing Business As | ROE FAMILY HEALTH MART PHARMACY |
Entity Type | Organization |
Authorized Contact | JOSH WILDE PIC 801-689-3420 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 10394585-1703) |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: UT 10394585-1703) |
3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
Enumeration Date | 2017-08-04 |
Last Update Date | 2022-03-15 |