Individual
BRYAN L NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2235 S 1300 W, SUITE D, SALT LAKE CITY, UT 84119-7241
(801) 302-8555
(801) 302-8600
Mailing address
2235 S 1300 W, SUITE D, SALT LAKE CITY, UT 84119-7241
(801) 302-8555
(801) 302-8600
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1508381701
UT
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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