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Contact Information

PCO-KTA, LLC
3673 WEST 2600 NORTH
PLAIN CITY, UT84404
 Phone: 801-827-0688
 Fax: 801-827-0698
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PCO-KTA, LLC

NPI # 1134645526
LBN Legal business name PCO-KTA, LLC
Authorized official MARK SCHULTZ - (PHARMACY MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/17/2017
Last updated 10/24/2017 - About 9 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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