Individual
JASE R NEILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
633 S MAIN ST, CEDAR CITY, UT 84720-3548
(435) 586-1043
Mailing address
633 S MAIN ST, CEDAR CITY, UT 84720-3548
(435) 586-1043
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
19281
NV
183500000X
Pharmacist
Primary
8284516-1701
UT
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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