IndividualActive
Jaron Stout, PHARMD
NPI 1164912374 · Geriatric Pharmacist · Logan, UT
Provider details
- NPI number
- 1164912374
- Entity type
- Individual
- Primary specialty
- Geriatric PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 6947461-1701 (UT)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1015 E 100 N
Logan, UT 84321-4873
Phone: (888) 853-8973
Fax: (888) 959-9385
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 239
Rupert, ID 83350-0239
Registry dates
- Enumerated
- 2018-05-14
- Last updated
- 2018-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.