NPI 1063661593

Reuben Kenrick Nielsen, PHARMD

Practitioner Pharmacist Murray, UT

Practice location

Address: 5632 S 900 E, Murray, UT 84121-1034
Phone: (801) 262-1025
Mailing address: 5658 Marco Rd, Murray, UT 84121-1070

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 336267-1701 (UT)

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Registry record

NPI: 1063661593
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Sep 2008
Record last updated: 9 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.