Evan Theobald, PHARMACIST

NPI 1952497604 · on the registry since 2006 · sole proprietor

Practice

Address: 1034 North 500 West
Provo, UT 84604
Phone: (801) 357-7051
Organisation at this address: Kirk W Leininger
Tracy A Hill Md Pc
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 449

Registry record

Primary taxonomy: Pharmacist
183500000X
Also registered as: Pharmacist
Licence states on file: UT, NV
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah