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NPI 1093667925

IndividualActive

Brian Hathaway, PHARMD

NPI 1093667925 · Infectious Diseases Pharmacist · Salt Lake City, UT

Provider details

NPI number: 1093667925
Entity type: Individual
Primary specialty: Infectious Diseases PharmacistPharmacy Service Providers
Credential: PHARMD
Sex: Male
Sole proprietor: No
License: 6976690-1701 (UT)

Practice location

1200 E 3900 S

Salt Lake City, UT 84124-1300

Phone: (801) 268-7111

More UT providers

Mailing address

1936 E Hubbard Ave

Salt Lake City, UT 84108-1304

Registry dates

Enumerated: 2026-02-12
Last updated: 2026-02-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Brian Hathaway, PHARMD — NPI 1093667925, Salt Lake City, UT | NPI Central