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Individual

DR. KEATON CROCKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1350 N 500 E, LOGAN, UT 84341-2400
(435) 716-1980
Mailing address
1350 N 500 E, LOGAN, UT 84341-2400
(143) 571-6198

Taxonomy

Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
8436287-1701
UT

Other

Enumeration date
12/03/2021
Last updated
12/03/2021
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