Organization
PCO-KTA, LLC
Active
Other names
Kent's Market Pharmacy Plain City
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SCHULTZ PHARMD (PHARMACY MANAGER)
(801) 827-0688
Entity
Organization
Contact information
Practice address
3673 WEST 2600 NORTH, PLAIN CITY, UT 84404
(801) 827-0688
(801) 827-0698
Mailing address
3673 WEST 2600 NORTH, PLAIN CITY, UT 84404
(801) 827-0688
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/17/2017
Last updated
10/24/2017
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