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Individual
JORDAN SCOTT CARVER
Active
Individual
JORDAN SCOTT CARVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6094265-1701
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6094265-1701
STATE OF UTAH
UT
Enumeration date
02/23/2012
Last updated
02/23/2012
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