IndividualActive
Edward Doubrava
NPI 1902400336 · Pharmacist · Herriman, UT
Provider details
- NPI number
- 1902400336
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 10774617 (UT)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
4968 W 13400 S
Herriman, UT 84096-6427
Phone: (801) 254-6135
Fax: (801) 254-7159
Approximate (ZIP-level) locationGet directions
Mailing address
4968 W 13400 S
Herriman, UT 84096-6427
Registry dates
- Enumerated
- 2020-11-25
- Last updated
- 2020-11-25
- Certified
- 2020-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.