Individual
LISA NELMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1900 ABBEY RD, CHARLOTTESVILLE, VA 22911-3543
(434) 244-4301
Mailing address
14167 BROOKMAN RD, SOMERSET, VA 22972-2123
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202009980
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902839251
GIANT
VA
05
—
1902839251
—
VA
Enumeration date
11/12/2020
Last updated
11/12/2020
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