Individual
MR. RONALD EDWARD NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
121 W NEIDER AVE, COEUR D ALENE, ID 83815-9300
(208) 765-4410
Mailing address
121 W NEIDER AVE, COEUR D ALENE, ID 83815-9300
(208) 765-4410
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4485
ID
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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