IndividualActive
Keaton Crockett, PHARMD
NPI 1932867272 · Ambulatory Care Pharmacist · Logan, UT
Provider details
- NPI number
- 1932867272
- Entity type
- Individual
- Primary specialty
- Ambulatory Care PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 8436287-1701 (UT)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1350 N 500 E
Logan, UT 84341-2400
Phone: (435) 716-1980
Approximate (ZIP-level) locationGet directions
Mailing address
1350 N 500 E
Logan, UT 84341-2400
Registry dates
- Enumerated
- 2021-12-03
- Last updated
- 2021-12-03
- Certified
- 2021-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.