Organization
KENTROY
Active
Other names
Kents Market Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KENT BEKSTROM (OWNER)
(801) 985-3940
Entity
Organization
Contact information
Practice address
3535 W 5600 S, ROY, UT 84067-9111
(801) 985-3942
(801) 985-3944
Mailing address
3535 W 5600 S, ROY, UT 84067-9111
(801) 985-3942
(801) 985-3944
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5073927-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4696855
NCPDP
UT
Enumeration date
10/16/2006
Last updated
03/07/2023
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