Individual
MR. JAMES D NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4110 S 10TH AVE, CALDWELL, ID 83605-5706
(208) 402-0154
Mailing address
4110 S 10TH AVE, CALDWELL, ID 83605-5706
(208) 402-0154
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2636
MT
183500000X
Pharmacist
P5012
ID
183500000X
Pharmacist
RPH-0008891
OR
Other
Enumeration date
05/27/2008
Last updated
08/17/2009
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