Individual
MR. BERNT ROAR NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
880 N STATE ST, OREM, UT 84057-3149
(801) 225-4621
Mailing address
2222 E 1480 S, SPANISH FORK, UT 84660-6435
(801) 794-1735
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2774244-1701
UT
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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