Individual
KELLY NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5618 LAKEWOOD TOWNE CENTER BLVD SW, T0349, LAKEWOOD, WA 98499-3894
(253) 414-1232
(253) 414-1232
Mailing address
5618 LAKEWOOD TOWNE CENTER BLVD SW, T0349, LAKEWOOD, WA 98499-3894
(253) 414-1232
(253) 414-1232
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00039668
WA
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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