Individual provider · Type 1 NPI

Evan Dale Theobald, PHARMACIST

Pharmacist · Provo, UT

NPI number 1952497604 Active

Practice location

1034 North 500 West
Provo, UT 84604

Call (801) 357-7051 Map

Mailing address

668 East 770 South
Payson, UT 84651

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X143869 (UT)
Pharmacist 183500000X06547 (NV)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

27 other providers at this address

Other pharmacist providers in Provo

See all in Provo →

About NPI 1952497604

Evan Dale Theobald, PHARMACIST's National Provider Identifier is 1952497604, issued on Oct 4, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Provo, UT. The record was last updated on Jul 8, 2007.