Healthcare Provider Details

I. General information

NPI: 1447697545
Provider Name (Legal Business Name): RHONDA RAYE OHLIN PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2013
Last Update Date: 05/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 W PRICE RIVER DR
PRICE UT
84501-2839
US

IV. Provider business mailing address

610 W PRICE RIVER DR
PRICE UT
84501-2839
US

V. Phone/Fax

Practice location:
  • Phone: 435-637-0806
  • Fax: 435-637-6153
Mailing address:
  • Phone: 435-637-0806
  • Fax: 435-637-6153

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number7376623-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: