Individual
DR. REUBEN KENRICK NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5632 S 900 E, MURRAY, UT 84121-1034
(801) 262-1025
Mailing address
5658 MARCO RD, MURRAY, UT 84121-1070
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
336267-1701
UT
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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