Gregory Nelsen

NPI #1275764482 in Jerome, Idaho

Provider Information

NPI Number
1275764482
Entity Type
Individual
Name
Gregory Nelsen
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Aug 5, 2009
Last Updated
Aug 5, 2009

Practice Location

Address
253 E 650 N
City
Jerome
State
Idaho
ZIP Code
83338-5035
Phone
(623) 687-1562

Specialties & Taxonomy Codes

Specialty
Pharmacist

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