Westside Health Mart

LBN: Roe Rx Inc
Westside Health Mart is an health care organization with primary practice located at 1407 N 2000 W Ste E , Clinton UT 84015-8563. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Roe Rx Inc can be contacted via phone (801) 784-5495, or through Roe, Hal via phone (801) 698-2497.

Contact Information

Primary practice address
1407 N 2000 W Ste E Clinton UT 84015-8563
Phone: (801) 784-5495
Fax: (801) 784-5499
Website:
Map and Directions
Authorized official contact:
Name: Roe, Hal RPH
Phone: (801) 698-2497

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 95330441703 Utah
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1912376849
LBN Legal business name Roe Rx Inc
DBA Doing business as Westside Health Mart
Authorized official Roe, Hal RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2015
Last updated Mar 15th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912376849 NPPES
Other 2153048 PK
MEDICAID 1912376849 PK

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