Individual
NICOLE K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 W 9000 S, WEST JORDAN, UT 84088-6503
(801) 562-4993
Mailing address
1820 W 9000 S, WEST JORDAN, UT 84088-6728
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
3781
WY
183500000X
Pharmacist
Primary
80894801701
UT
Other
Enumeration date
01/25/2017
Last updated
09/29/2020
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