Organization
KENTCO INC
Active
Other names
kent's pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA K. CROOKSTON PHARMD (PHARMACY MANAGER)
(435) 257-0445
Entity
Organization
Contact information
Practice address
300 E MAIN ST, TREMONTON, UT 84337-2319
(435) 257-0445
(435) 257-6293
Mailing address
300 E MAIN ST, TREMONTON, UT 84337-2319
(435) 257-0445
(435) 257-6293
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
1310648913
UT
Other
Enumeration date
07/09/2006
Last updated
04/20/2008
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