Healthcare Provider Details

I. General information

NPI: 1154253292
Provider Name (Legal Business Name): BRITTA TAYLOR PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1034 N 500 W
PROVO UT
84604-3380
US

IV. Provider business mailing address

8410 N WESTERN GAILES DR
EAGLE MOUNTAIN UT
84005-5101
US

V. Phone/Fax

Practice location:
  • Phone: 801-357-3095
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0200X
TaxonomyPediatric Pharmacist
License Number7994280-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: