Individual
STEVEN NILE CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2062 W 1800 N, CLINTON, UT 84015-7910
(801) 776-8161
(801) 776-8153
Mailing address
2003 N 3675 W, WEST POINT, UT 84015-7309
(801) 776-8161
(801) 776-8153
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
341761-1701
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
341761-1701
PHARMCIST LICENSE NUMBER
UT
Enumeration date
05/25/2007
Last updated
07/08/2007
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