Healthcare Provider Details

I. General information

NPI: 1841061785
Provider Name (Legal Business Name): RYAN NED ADAMS PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2024
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3696 W 2100 S
SALT LAKE CITY UT
84120-1202
US

IV. Provider business mailing address

3696 W 2100 S
SALT LAKE CITY UT
84120-1202
US

V. Phone/Fax

Practice location:
  • Phone: 801-696-2287
  • Fax:
Mailing address:
  • Phone: 801-696-2287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0019839
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: