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Mr. Evan Dale Theobald, PHARMACIST
Pharmacist in Provo, Utah
NPI 1952497604

Evan Dale Theobald is a Pharmacist based in Payson, UT. Evan Dale Theobald practices in Provo, UT and has the professional credentials of PHARMACIST. The NPI Number for Evan Dale Theobald is 1952497604 and holds a License No. 143869 (Utah).

The current practice location address for Evan Dale Theobald is 1034 North 500 West, Provo, UT and can be reached out via phone at 801-357-7051.

Location: 1034 North 500 West, Provo, UT, 84651
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952497604
Provider Name
Evan Dale Theobald
Credential
PHARMACIST
Provider Entity Type
Individual
Gender
Male
Address
1034 North 500 West, Provo, UT, 84651
Phone Number
801-357-7051
Fax Number
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1034 North 500 West
City
Provo
State
Utah
Zip
84604
Phone Number
801-357-7051
Fax Number
person
Provider Business Mailing Address Details
Address
1034 North 500 West
City
Provo
State
Utah
Zip
84604
Phone Number
801-357-7051
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
143869 (Utah)
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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