Jace Brigham Nielsen, PharmD
Pharmacist in Payson, UT. Individual provider (NPI-1).
NPI number1053909366
StatusActive
Last updated in NPPESJan 4, 2021
Details
- NPI
- 1053909366
- Entity type
- Individual (NPI-1)
- Name
- Jace Brigham Nielsen
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 4, 2021
- Certification date
- Jan 4, 2021
- Last updated
- Jan 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 9050300 | UT | Yes |
Practice location
1172 E 100 N Ste 1Payson, UT 84651-1668
Phone 801-465-4322
Mailing address
1172 E 100 N Ste 1Payson, UT 84651-1668
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