Individual
PEGGY BAKKE NICHOLSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
1380 E MEDICAL CENTER DR, ST GEORGE, UT 84790-2123
(435) 251-2400
(435) 251-2413
Mailing address
1337 W 1200 N, ST GEORGE, UT 84770-4921
(435) 628-7449
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
146430-1701
UT
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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