Individual
KIRK NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2118 ARMOUR PL, GLENDALE, CA 91208-2406
(530) 949-6168
Mailing address
2118 ARMOUR PL, GLENDALE, CA 91208-2406
(530) 949-6168
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
73013
CA
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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