Individual
JAN ALVIN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
115 WEST JESSIE STREET, RUSHFORD, MN 55971
(507) 864-2153
(507) 864-2143
Mailing address
526 OLMSTEAD ST, WINONA, MN 55987-2932
(507) 454-7168
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
113081
MN
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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