DR. Kelly Lynn Shanley Nordstrom, PHARMD

NPI #1194930370 in Menomonie, Wisconsin

Provider Information

NPI Number: 1194930370
Entity Type: Individual
Name: DR. Kelly Lynn Shanley Nordstrom, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: May 11, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2321 STOUT RD
City: Menomonie
State: Wisconsin
ZIP Code: 54751-7003
Phone: (715) 233-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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