Individual
JON RICHARD NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-4473
(505) 846-7910
Mailing address
1501 SAN PEDRO ST, ALBUQUERQUE, NM 87117-0001
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IN00002864
NM
Other
Enumeration date
03/07/2010
Last updated
04/06/2021
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