# KTM HEALTH CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Enterprise Valley Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225265689
- **Authorized official:** DR. ADAM P KATSCHKE PHARMD (PRESIDENT)
- **Authorized official phone:** (801) 592-1056

## Contact information

- **Practice address:** 660 E MAIN ST, ENTERPRISE, UT 84725
- **Practice address phone:** (435) 878-2760
- **Mailing address:** PO BOX 761, CALIENTE, NV 89008-0761
- **Mailing address phone:** (775) 726-3771
- **Mailing address fax:** (775) 726-3685

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 7359434-1703 | UT | Yes |

## Other

- **Enumeration date:** 06/12/2009
- **Last updated:** 06/12/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 7359434-1703 | STATE BOARD OF PHARMACY LICENSE NUMBER | UT |