IndividualActive
Tyson Nielsen
NPI 1700540192 · Pharmacist · West Jordan, UT
Provider details
- NPI number
- 1700540192
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12499059-1701 (UT)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
7779 S Jordan Landing Blvd
West Jordan, UT 84084-1975
Phone: (801) 336-0050
Approximate (ZIP-level) locationGet directions
Mailing address
7779 S Jordan Landing Blvd
West Jordan, UT 84084-1975
Registry dates
- Enumerated
- 2021-10-22
- Last updated
- 2021-10-22
- Certified
- 2021-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.