Individual
NICKOLAS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
828 S 900 W, SALT LAKE CITY, UT 84104-1455
(801) 364-2564
(801) 363-4633
Mailing address
5346 W CASE MOUNTAIN RD, WEST JORDAN, UT 84081-3931
(801) 364-2564
(801) 363-4633
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8418441-1701
UT
183500000X
Pharmacist
S021544
AZ
Other
Enumeration date
09/16/2015
Last updated
05/15/2026
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