Healthcare Provider Details

I. General information

NPI: 1922914084
Provider Name (Legal Business Name): JOHN ARION EREKSON III PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6306 S AIRPORT RD
WEST JORDAN UT
84084-5601
US

IV. Provider business mailing address

11677 S MISTY CREEK PL
SOUTH JORDAN UT
84095-9411
US

V. Phone/Fax

Practice location:
  • Phone: 801-432-5300
  • Fax:
Mailing address:
  • Phone: 801-808-5300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208U00000X
TaxonomyClinical Pharmacology Physician
License Number5484604-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: