Healthcare Provider Details

I. General information

NPI: 1659212165
Provider Name (Legal Business Name): CALVIN RILEY OSTLER PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 SNOW CREEK DR
PARK CITY UT
84060-7506
US

IV. Provider business mailing address

PO BOX 711726
SALT LAKE CITY UT
84171-1726
US

V. Phone/Fax

Practice location:
  • Phone: 435-645-7916
  • Fax: 435-655-7019
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number9895561-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: