Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nina Ivanova

Individual provider Pharmacist · NPI 1417559451

Nina Ivanova is a Pharmacist in Park City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2020

Practice location Address checks out

6545 N Landmark Dr
Park City, UT 84098-5990
Phone: (435) 647-9040
Fax: (435) 647-9042
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 292261 (UT)

Record details

NPI number1417559451
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 13, 2020
Last updated in NPPESNovember 13, 2020
Certification dateNovember 13, 2020
Mailing address6545 N Landmark Dr, Park City, UT 84098-5990

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