NPI 1003457011

Johnathan Otto Carter, PHARMACIST

Practitioner Pharmacist Provo, UT

Practice location

Address: 350 N Freedom Blvd, Provo, UT 84601-2810
Phone: (801) 377-9250

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 8071132-1701 (UT)

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Registry record

NPI: 1003457011
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Oct 2019
Record last updated: 1 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.