Individual
ROB NILSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4240 HARRISON BLVD, OGDEN, UT 84403-3102
(801) 621-2610
Mailing address
4240 HARRISON BLVD, OGDEN, UT 84403-3102
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6418604
UT
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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