Individual
SUSAN LYNN NIKOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
8745 S. HIGHLAND DR, SANDY, UT 84093
(801) 942-0071
Mailing address
5231 APPIAN CV, TAYLORSVILLE, UT 84118-2218
(801) 942-0071
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
145470-1701
UT
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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