Healthcare Provider Details

I. General information

NPI: 1871408518
Provider Name (Legal Business Name): MICHAEL ADAMSON CPHT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3179 N CANYON RD
PROVO UT
84604-3916
US

IV. Provider business mailing address

3179 N CANYON RD
PROVO UT
84604-3916
US

V. Phone/Fax

Practice location:
  • Phone: 801-377-2002
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number241559
License Number StateAK
# 2
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number12382197-1717
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: