Provider Demographics
NPI:1326673336
Name:LOVE, JOSH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOSH
Middle Name:
Last Name:LOVE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11188 S VIA ENCANTADA WAY
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-8167
Mailing Address - Country:US
Mailing Address - Phone:801-652-7735
Mailing Address - Fax:
Practice Address - Street 1:11188 S VIA ENCANTADA WAY
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095-8167
Practice Address - Country:US
Practice Address - Phone:801-652-7735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-10
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT501079-17011835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy