Individual
JORDAN SCOTT CARVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1551 RENAISSANCE TOWNE DR, #104, BOUNTIFUL, UT 84010-7667
(801) 295-6979
(801) 295-6989
Mailing address
1551 RENAISSANCE TOWNE DR, #104, BOUNTIFUL, UT 84010-7667
(801) 295-6979
(801) 295-6989
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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