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NPI Code Detail

MEDICARE: ROE RX INC

MEDICARE: ROE RX INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336L0003XLong Term Care Pharmacy

General Provider Information

NPI Number : 1518486349
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROE RX INC
Provider Business Mailing Address
First Line : 1378 W 1800 N
Second Line :
City : OGDEN
State : UT
Zip : 84404-2826
Country : US
Telephone Number : 801-698-2497
Fax Number :
Provider Business Practice Location Address
First Line : 1812 N 2000 W STE 9
Second Line :
City : FARR WEST
State : UT
Zip : 84404-8060
Country : US
Telephone Number : 801-698-3891
Fax Number : 801-737-9160
Authorized Official
Title or Position : PRESIDENT
Name : HAL ROE
Credential : RPH
Telephone Number : 801-698-2497
Provider Enumeration Date : 09/13/2017
Last Update Date : 03/15/2022

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Directions to “ROE RX INC ” Practice Location

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