Healthcare Provider Details

I. General information

NPI: 1629935382
Provider Name (Legal Business Name): MATTHEW TAYLOR CLAWSON PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 N FREEDOM BLVD
PROVO UT
84601-2810
US

IV. Provider business mailing address

57 S 1100 W
SPRINGVILLE UT
84663-5625
US

V. Phone/Fax

Practice location:
  • Phone: 801-377-9250
  • Fax:
Mailing address:
  • Phone: 808-209-1238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number10141956-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: