IndividualActive
Kyle Crutcher, PHARMD
NPI 1003417890 · Pharmacist · South Jordan, UT
Provider details
- NPI number
- 1003417890
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5604971-1701 (UT)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
3590 W South Jordan Pkwy
South Jordan, UT 84095-8916
Phone: (801) 601-3119
Fax: (801) 601-3124
Approximate (ZIP-level) locationGet directions
Mailing address
10224 S Meadow Creek Ln
South Jordan, UT 84095-4707
Registry dates
- Enumerated
- 2020-11-06
- Last updated
- 2020-11-06
- Certified
- 2020-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.