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General NPI Number Information
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NPI Number | 1023234093
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Entity Type | Organization
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Legal Business Name | K&A HOLDINGS
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4658 HOLLADAY BLVD
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City | HOLLADAY
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State | UT
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Zip | 84117-5209
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Country | US
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Telephone | 801-277-2696
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Fax | 801-272-5506
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Provider Business Mailing Address
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Address Line | 4658 HOLLADAY BLVD
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City | HOLLADAY
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State | UT
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Zip | 84117-5209
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Country | US
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Telephone | 801-277-2696
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Fax | 801-272-5506
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Authorized Official
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Title or Position | PRESIDENT
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Name | KERRY E. BROWN
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Credential |
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Telephone | 801-277-2696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 47711531703
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 47711531703
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | 47711531703
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License Number State | UT
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