Individual
MR. EVAN JAMES VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
91 N MAIN ST, CEDAR CITY, UT 84720-2648
(435) 586-9651
(435) 586-3473
Mailing address
2166 N COBBLECREEK DR, CEDAR CITY, UT 84721-9714
(435) 586-4399
(435) 586-3473
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1436311701
UT
Other
Enumeration date
07/18/2005
Last updated
06/17/2009
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