Individual
MATTHEW PHILLIP NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
201 3RD AVE, SEWARD, AK 99664-2088
(907) 224-3076
Mailing address
PO BOX 2088, SEWARD, AK 99664-2088
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
110993
AK
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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