# ROE RX INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Westside Health Mart
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912376849
- **Authorized official:** HAL ROE RPH (OWNER,PIC,AO)
- **Authorized official phone:** (801) 698-2497

## Contact information

- **Practice address:** 1407 N 2000 W STE E, CLINTON, UT 84015-8563
- **Practice address phone:** (801) 784-5495
- **Practice address fax:** (801) 784-5499
- **Mailing address:** 1378 W 1800 N, OGDEN, UT 84404-2826
- **Mailing address phone:** (801) 782-3611
- **Mailing address fax:** (801) 737-9160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 95330441703 | UT | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 09/22/2015
- **Last updated:** 03/15/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1912376849 | — | UT |
| 01 | — | 2153048 | PK | — |
