Revere Health PC

NPI #1922156884 in Provo, Utah

Provider Information

NPI Number: 1922156884
Entity Type: Organization
Organization Name: Revere Health PC
Primary Specialty: Pharmacist
Enumeration Date: Jan 8, 2007
Last Updated: Oct 7, 2025

Practice Location

Address: 1055 N 500 W
City: Provo
State: Utah
ZIP Code: 84604-3305
Phone: (801) 418-0800

Authorized Official

Name: JED HARSTON
Title: DIRECTOR OF MANAGED CARE
Phone: (801) 812-5012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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