Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EVAN DALE THEOBALD, PHARMACIST
Active Sole ProprietorMR. EVAN DALE THEOBALD, PHARMACIST is a Pharmacist healthcare provider located in PROVO, Utah. NPI 1952497604 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · PROVO, UT
Registration Details
- NPI Number
- 1952497604
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2006 (19.820682767086 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
143869 (UT)06547 (NV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1034 NORTH 500 WESTPROVO, UT, 84604Browse UT providers · Browse ZIP 84604
- Phone
- 8013577051
- Primary Specialty
-
Pharmacist
183500000X
- Additional Specialty
- Pharmacist
Other Pharmacist Providers in PROVO, UT
| Name | Credential | NPI |
|---|---|---|
| MIKE CHAMBERLAIN | RPH | 1255361481 |
| DR. KEVIN S DELANEY | PHARM D | 1093817736 |
| ELIZABETH LEE BURNHAM | REGISTERED PHARMACIS | 1699871384 |
| DR. VALERIE A JOHNSON | PHARMD | 1497855423 |
| LAURA M FLAHERTY | RPH | 1417043043 |
| DR. KEVIN WAYNE CHRISTENSEN | PHARMD | 1508932534 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.