Individual
DR. JOSHUA BASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5675 W 6200 S, WEST VALLEY CITY, UT 84118-7915
(801) 965-0243
(801) 965-0687
Mailing address
5675 W 6200 S, WEST VALLEY CITY, UT 84118-7915
(801) 965-0243
(801) 965-0687
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6823795-1701
UT
Other
Enumeration date
01/01/2019
Last updated
01/01/2019
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