Most Relevant Information
Provider Data
| NPI Number: | 1003326505 |
| Provider Name: | KENNETH L ERNSTROM PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 5000299-1701 |
Most Important Dates
| Enumeration Date: | 10/10/2017 |
| Last Updated: | 10/10/2017 |
Provider Practice Location
2065 N ROBINS DRIVE
LAYTON
UT
84041
Practice Location Phone/Fax
| Phone: | 8017733863 |
| Fax: |
Provider Mailing Location
2065 N ROBINS DRIVE
LAYTON
UT
84041
Provider Mailing Phone/Fax
| Phone: | 8017733863 |
| Fax: |