Individual
HEATHER NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1003 S BISHOP AVE, ROLLA, MO 65401-4437
(573) 364-6079
(573) 364-6895
Mailing address
1003 S BISHOP AVE, ROLLA, MO 65401-4437
(573) 364-6079
(573) 364-6895
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2008027913
MO
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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