Individual
LISA NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1328 E 600 N, BOUNTIFUL, UT 84010-1744
(385) 243-8144
(385) 243-8144
Mailing address
725 N REDWOOD RD, NORTH SALT LAKE, UT 84054-2832
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
330507-1701
UT
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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