Individual
DR. JARON ANDREW STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1015 E 100 N, LOGAN, UT 84321-4873
(888) 853-8973
(888) 959-9385
Mailing address
PO BOX 239, RUPERT, ID 83350-0239
(888) 221-0423
(888) 271-9816
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
6947461-1701
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6947461-1701
STATE OF UTAH PHARMACIST LICENSE
UT
Enumeration date
05/14/2018
Last updated
05/14/2018
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