Healthcare Provider Details

I. General information

NPI: 1891501938
Provider Name (Legal Business Name): ROE RX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2024
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1351 W 200 N
KAYSVILLE UT
84037-9711
US

IV. Provider business mailing address

1378 W 1800 N
OGDEN UT
84404-2826
US

V. Phone/Fax

Practice location:
  • Phone: 385-271-0800
  • Fax: 385-271-0799
Mailing address:
  • Phone: 801-698-2497
  • Fax: 801-737-9160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: HAL R ROE
Title or Position: PRESIDENT
Credential:
Phone: 801-698-2497