Individual
MR. DANA K. NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
65 S MAIN ST, BLANDING, UT 84511-3742
(435) 678-2781
Mailing address
455 CEDAR CIR # 42-9, BLANDING, UT 84511-4026
(435) 678-2525
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
142481-1701
UT
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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