Johnathan Nilsen, RPH
NPI #1740799436 in Hercules, California
Provider Information
- NPI Number
- 1740799436
- Entity Type
- Individual
- Name
- Johnathan Nilsen, RPH
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- RPH
- Enumeration Date
- Sep 25, 2017
- Last Updated
- Sep 25, 2017
Practice Location
- Address
- 1560 SYCAMORE AVE
- City
- Hercules
- State
- California
- ZIP Code
- 94547-1701
- Phone
- (510) 799-1252
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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