Organization
KTM HEALTH CARE INC
Active
Other names
Enterprise Valley Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM P KATSCHKE PHARMD (PRESIDENT)
(801) 592-1056
Entity
Organization
Contact information
Practice address
660 E MAIN ST, ENTERPRISE, UT 84725
(435) 878-2760
Mailing address
PO BOX 761, CALIENTE, NV 89008-0761
(775) 726-3771
(775) 726-3685
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
7359434-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7359434-1703
STATE BOARD OF PHARMACY LICENSE NUMBER
UT
Enumeration date
06/12/2009
Last updated
06/12/2009
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