Carl Nielsen

NPI #1396346466 in Chantilly, Virginia

Provider Information

NPI Number: 1396346466
Entity Type: Individual
Name: Carl Nielsen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 5, 2020
Last Updated: Nov 5, 2020

Practice Location

Address: 25050 RIDING PLZ
City: Chantilly
State: Virginia
ZIP Code: 20152-5925
Phone: (703) 542-2990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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