Healthcare Provider Details

I. General information

NPI: 1316856248
Provider Name (Legal Business Name): RYAN MATTHEWS PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

144 E INLET SPRING DR
SARATOGA SPRINGS UT
84045-5537
US

IV. Provider business mailing address

144 E INLET SPRING DR
SARATOGA SPRINGS UT
84045-5537
US

V. Phone/Fax

Practice location:
  • Phone: 801-580-5798
  • Fax:
Mailing address:
  • Phone: 801-580-5798
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number7970077-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: