Individual
MICHELE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
907 S STATE ST, FAIRMONT, MN 56031-4441
(507) 238-2880
Mailing address
907 S STATE ST, FAIRMONT, MN 56031-4441
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117460
MN
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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