Individual
IRVIN NIELS NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
UNIV HOSPITAL PHARMACY, 50 NORTH MEDICAL DRIVE, SALT LAKE CITY, UT 84132-0001
(801) 581-2147
(801) 585-0403
Mailing address
790 E 8080 S, SANDY, UT 84094-0633
(801) 561-2308
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
143052
UT
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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