Healthcare Provider Details

I. General information

NPI: 1407584774
Provider Name (Legal Business Name): AARON COON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2022
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

672 E 11400 S
DRAPER UT
84020-9771
US

IV. Provider business mailing address

1557 W INNOVATION WAY
LEHI UT
84043-4395
US

V. Phone/Fax

Practice location:
  • Phone: 801-495-7720
  • Fax:
Mailing address:
  • Phone: 833-834-1170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number6754409-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: