Johnathan Otto Carter, PHARMACIST

NPI #1003457011 in Provo, Utah

Provider Information

NPI Number: 1003457011
Entity Type: Individual
Name: Johnathan Otto Carter, PHARMACIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMACIST
Enumeration Date: Oct 1, 2019
Last Updated: Oct 1, 2019

Practice Location

Address: 350 N FREEDOM BLVD
City: Provo
State: Utah
ZIP Code: 84601-2810
Phone: (801) 377-9250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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