Individual
MARK NEBEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
565 S MALL DR, ST GEORGE, UT 84790-1258
(435) 705-7420
(435) 705-7421
Mailing address
86 E FORT KNOX WAY, WASHINGTON, UT 84780-4708
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
18058
NV
183500000X
Pharmacist
Primary
6683586-1701
UT
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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