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Individual

BRYN MICHAEL NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
743 N MAIN ST, MOOREFIELD, WV 26836-1020
(435) 215-5883
Mailing address
213 ROBINS WAY, WOODSTOCK, VA 22664-2084
(435) 215-5883

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0011791
WV

Other

Enumeration date
10/01/2020
Last updated
10/01/2020
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