Healthcare Provider Details

I. General information

NPI: 1346166824
Provider Name (Legal Business Name): KENNETH BRANDON DANIELS PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: BRANDON DANIELS PHARMD

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3580 W 9000 S
WEST JORDAN UT
84088-8812
US

IV. Provider business mailing address

3580 W 9000 S
WEST JORDAN UT
84088-8812
US

V. Phone/Fax

Practice location:
  • Phone: 801-562-4290
  • Fax:
Mailing address:
  • Phone: 801-562-4290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number9434541-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: