# NELSON DRUG STORE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073822326
- **Authorized official:** MR. WILLIAM EUGENE NELSON PHARMACIST (OWNER/PHARMACIST)
- **Authorized official phone:** (815) 875-4415

## Contact information

- **Practice address:** 918 N MAIN ST, PRINCETON, IL 61356-1335
- **Practice address phone:** (815) 875-4415
- **Practice address fax:** (815) 875-4321
- **Mailing address:** 918 N MAIN ST, PRINCETON, IL 61356-1335
- **Mailing address phone:** (815) 875-4415
- **Mailing address fax:** (815) 875-4321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054000044 | IL | Yes |

## Other

- **Enumeration date:** 10/05/2010
- **Last updated:** 10/05/2010