Organization
ROE RX INC
Active
Other names
Westside Health Mart
Organization subpart
No
Provider details
NPI number
Authorized official
HAL ROE RPH (OWNER,PIC,AO)
(801) 698-2497
Entity
Organization
Contact information
Practice address
1407 N 2000 W STE E, CLINTON, UT 84015-8563
(801) 784-5495
(801) 784-5499
Mailing address
1378 W 1800 N, OGDEN, UT 84404-2826
(801) 782-3611
(801) 737-9160
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
95330441703
UT
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912376849
—
UT
01
—
2153048
PK
—
Enumeration date
09/22/2015
Last updated
03/15/2022
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