NPI 1003326505

Kenneth L Ernstrom, PHARMD

Practitioner Pharmacist Layton, UT

Practice location

Address: 2065 N Robins Drive, Layton, UT 84041
Phone: (801) 773-3863

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 5000299-1701 (UT)

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Registry record

NPI: 1003326505
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Oct 2017
Record last updated: 10 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.