Individual
JEFFERY C NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1171 W 2000 N, LAYTON, UT 84041-1638
(801) 614-1302
Mailing address
327 CHERRY DR, RIVERDALE, UT 84405-5531
(801) 540-0933
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
144302-1701
UT
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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