Provider Demographics
NPI:1518486349
Name:ROE RX INC
Entity Type:Organization
Organization Name:ROE RX INC
Other - Org Name:ROE FAMILY MEDPAC LTC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:801-698-2497
Mailing Address - Street 1:1378 W 1800 N
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84404-2826
Mailing Address - Country:US
Mailing Address - Phone:801-698-2497
Mailing Address - Fax:
Practice Address - Street 1:1812 N 2000 W STE 9
Practice Address - Street 2:
Practice Address - City:FARR WEST
Practice Address - State:UT
Practice Address - Zip Code:84404-8060
Practice Address - Country:US
Practice Address - Phone:801-698-3891
Practice Address - Fax:801-737-9160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-13
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy