Healthcare Provider Details

I. General information

NPI: 1457270076
Provider Name (Legal Business Name): MICAH HARWARD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 S RIVER RD
ST GEORGE UT
84790-2116
US

IV. Provider business mailing address

1002 S 1240 W
ST GEORGE UT
84770-6808
US

V. Phone/Fax

Practice location:
  • Phone: 435-627-2037
  • Fax:
Mailing address:
  • Phone: 435-375-1142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number6298721-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: