Individual
TIMOTHY NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
198 N 1200 E, LEHI, UT 84043-2294
(801) 653-2709
Mailing address
198 N 1200 E, LEHI, UT 84043-2294
(801) 653-2709
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8343631-1701
UT
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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