Individual
ERIC NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1301 S 5TH ST, SAINT CHARLES, MO 63301-2457
(636) 946-6210
Mailing address
40 WOLVERTON CT, SAINT CHARLES, MO 63301-4074
(636) 255-0927
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042455
MO
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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