Mr. Evan Dale Theobald is a pharmacist in Provo, Utah. Patients can reach him at 1034 North 500 West, Provo or contact him on 801-357-7051. Active license number of Mr. Evan Dale Theobald is 143869 for Pharmacist in Utah. Mr. Evan Dale Theobald is 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.
Complete Profile:
Mr. Evan Dale Theobald speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
Name:
Mr. Evan Dale Theobald
Specialization:
Pharmacist
Credentials:
PHARMACIST
Gender:
Male
Location:
1034 North 500 West, Provo, Utah, 84604
Phone:
801-357-7051
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Mr. Evan Dale Theobald are as mentioned below.
NPI Number:
1952497604
NPI Enumeration Date:
04 Oct, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Evan Dale Theobald are as mentioned below.
Specialization
License Number
State
Status
Pharmacist
143869
Utah
Primary
Pharmacist
06547
Nevada
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
668 East 770 South, Payson, Utah
Zip:
84651
Phone Number:
801-465-9175
Fax Number:
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Patients can reach Mr. Evan Dale Theobald at 1034 North 500 West, Provo, Utah or can call on phone at 801-357-7051.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.