MR. EVAN THEOBALD, PHARMACIST

Pharmacist

Active Individual
NPI: 1952497604

Practice Address

1034 NORTH 500 WEST
Provo, UT 84604

Phone: (801) 357-7051

Specialties

Specialty Code Primary License
Pharmacist 183500000X No 06547 (NV)

Frequently Asked Questions

NPI 1952497604 is the National Provider Identifier for MR. EVAN THEOBALD, PHARMACIST, a Pharmacist provider located in Provo, UT. This NPI was enumerated on October 4, 2006.
MR. EVAN THEOBALD, PHARMACIST practices at 1034 NORTH 500 WEST, Provo, UT 84604.

Quick Facts

NPI
1952497604
Type
Individual
Enumerated
Oct 4, 2006
Last Updated
Jul 8, 2007

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