Individual
AMANDA LY NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6828 W 10205 N, HIGHLAND, UT 84003-3465
(385) 625-9110
Mailing address
6828 W 10205 N, HIGHLAND, UT 84003-3465
(385) 625-9110
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11433319-1701
UT
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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