Ryan Matthew Nielson, RPH

NPI #1942711106 in La Grande, Oregon

Provider Information

NPI Number: 1942711106
Entity Type: Individual
Name: Ryan Matthew Nielson, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Oct 16, 2017
Last Updated: Oct 16, 2017

Practice Location

Address: 2212 ISLAND AVE STE 201
City: La Grande
State: Oregon
ZIP Code: 97850-3949
Phone: (541) 963-8696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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