NPI 1003417890

Kyle Crutcher, PHARMD

Practitioner Pharmacist South Jordan, UT

Practice location

Address: 3590 W South Jordan Pkwy, South Jordan, UT 84095-8916
Phone: (801) 601-3119
Fax: (801) 601-3124
Mailing address: 10224 S Meadow Creek Ln, South Jordan, UT 84095-4707

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 5604971-1701 (UT)

Other Pharmacist providers in Utah →

Registry record

NPI: 1003417890
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Nov 2020
Record last updated: 6 Nov 2020

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.