Healthcare Provider Details

I. General information

NPI: 1801765136
Provider Name (Legal Business Name): DUNCAN JO ANDRUS PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2025
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2380 N 400 E
LOGAN UT
84341-6000
US

IV. Provider business mailing address

945 W 2200 S APT F304
LOGAN UT
84321-6617
US

V. Phone/Fax

Practice location:
  • Phone: 435-787-1212
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number14213458-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: