Organization
ROE RX INC
Active
Other names
MOUNTAIN VIEW HEALTH MART
Organization subpart
No
Provider details
NPI number
Authorized official
HAL ROE RPH (OWNER)
(801) 698-2497
Entity
Organization
Contact information
Practice address
1100 W 2700 N, PLEASANT VIEW, UT 84404-4791
(801) 475-3695
(801) 475-3699
Mailing address
1100 W 2700 N, PLEASANT VIEW, UT 84404-4791
(801) 475-3695
(801) 475-3699
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
6687840-1703
UT
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4610817
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/07/2007
Last updated
03/15/2022
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