| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KRISTEN KORTH | 1770360125 | 2023-09-11 |
Kristen Korth is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1770360125. Registration indicates Kristen Korth is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Kristen Korth |
| Practice Office Address | 4235 IRIS AVE MORGAN, UT US |
| Practice Office Telephone | 8013886356 |
| Mailing Address | 4235 IRIS AVE MORGAN, UT 840509738 US |
| Business Telephone | 8013886356 |
| Code | Practice | License No State |
|---|---|---|
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | P10676
ID |