Organization
JER KEN INC
Active
Parent organization
JER KEN INC
Other names
Kent's Thriftway Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
JER KEN INC
Authorized official
KENNY HOGGARD R.PH (PHARMACY MANAGER)
(435) 723-8841
Entity
Organization
Contact information
Practice address
260 N MAIN ST, BRIGHAM CITY, UT 84302-2120
(435) 723-8841
(435) 734-9567
Mailing address
260 N MAIN ST, BRIGHAM CITY, UT 84302-2120
(435) 723-8841
(435) 734-9567
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
4884504-1703
UT
Other
Enumeration date
08/05/2006
Last updated
04/20/2008
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