Provider Demographics
NPI:1639442858
Name:YOST, SCOTT HOWARD (PHARMD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:HOWARD
Last Name:YOST
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 1:10207 S 2165 E
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84092-4014
Mailing Address - Country:US
Mailing Address - Phone:801-558-1564
Mailing Address - Fax:
Practice Address - Street 1:10207 S 2165 E
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84092-4014
Practice Address - Country:US
Practice Address - Phone:801-558-1564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-18
Last Update Date:2012-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6450026-17011835P1200X
UT6450026-89111835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy