Individual
KELLI J NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3656 WALL AVE, OGDEN, UT 84405-7101
(801) 317-3952
Mailing address
3656 WALL AVE, OGDEN, UT 84405-7101
(801) 317-3952
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5098259-1701
UT
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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