Provider Demographics
NPI:1922407600
Name:FORD, STEVEN HEPWORTH (PHARMD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:HEPWORTH
Last Name:FORD
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 1:680 W 2600 S
Mailing Address - Street 2:
Mailing Address - City:WOODS CROSS
Mailing Address - State:UT
Mailing Address - Zip Code:84010-8190
Mailing Address - Country:US
Mailing Address - Phone:801-292-3911
Mailing Address - Fax:
Practice Address - Street 1:680 W 2600 S
Practice Address - Street 2:
Practice Address - City:WOODS CROSS
Practice Address - State:UT
Practice Address - Zip Code:84010-8190
Practice Address - Country:US
Practice Address - Phone:801-292-3911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-18
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8088047-1701183500000X
UT8088047-8911183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist