Organization
NELSON DRUG STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM EUGENE NELSON PHARMACIST (OWNER/PHARMACIST)
(815) 875-4415
Entity
Organization
Contact information
Practice address
918 N MAIN ST, PRINCETON, IL 61356-1335
(815) 875-4415
(815) 875-4321
Mailing address
918 N MAIN ST, PRINCETON, IL 61356-1335
(815) 875-4415
(815) 875-4321
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054000044
IL
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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