Organization
NIELSON FAMILY PHARMACY CORP
Active
Other names
THE MEDICINE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
LEE NIELSON (OWNER)
(801) 278-2101
Entity
Organization
Contact information
Practice address
2036 E 6200 S, SALT LAKE CITY, UT 84121-2268
(801) 278-2101
(801) 278-2015
Mailing address
2036 E 6200 S, SALT LAKE CITY, UT 84121-2268
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
55239031703
UT
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4607947
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/20/2006
Last updated
05/16/2014
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