Healthcare Provider Details

I. General information

NPI: 1174720593
Provider Name (Legal Business Name): STEVEN K KUWAHARA RPH, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7495 S STATE ST
MIDVALE UT
84047-2013
US

IV. Provider business mailing address

727 MOLASSES MILL DR
DRAPER UT
84020-7576
US

V. Phone/Fax

Practice location:
  • Phone: 801-213-9600
  • Fax: 801-213-9620
Mailing address:
  • Phone: 801-816-3932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number267454-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: