Provider Demographics
NPI:1942345764
Name:LAYTON, ALAN M (RPH)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:M
Last Name:LAYTON
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:81 LAKEVIEW
Mailing Address - Street 2:
Mailing Address - City:STANSBURY PARK
Mailing Address - State:UT
Mailing Address - Zip Code:84074-9608
Mailing Address - Country:US
Mailing Address - Phone:435-843-4321
Mailing Address - Fax:435-882-8441
Practice Address - Street 1:2055 N MAIN ST
Practice Address - Street 2:
Practice Address - City:TOOELE
Practice Address - State:UT
Practice Address - Zip Code:84074-9819
Practice Address - Country:US
Practice Address - Phone:435-843-3790
Practice Address - Fax:435-882-8441
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT148623-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist