Individual
JOHN M NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1901 MILWAUKEE AVE, BURLINGTON, WI 53105-9799
(262) 767-1902
Mailing address
11703 250TH AVE, TREVOR, WI 53179-9248
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11250-40
WI
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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