Individual
LAURA LEE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
830 W. BROADWAY, JACKSON, WY 83001
(307) 733-6222
(307) 733-3528
Mailing address
PO BOX 9000, JACKSON, WY 83002
(307) 733-6222
(307) 733-3528
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2263
WY
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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