Individual
DANIELLE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1100 13TH AVE E, WEST FARGO, ND 58078-3376
(701) 281-5695
(701) 281-4804
Mailing address
1100 13TH AVE E, WEST FARGO, ND 58078-3376
(701) 281-5695
(701) 281-4804
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
120483
MN
183500000X
Pharmacist
Primary
5376
ND
Other
Enumeration date
11/03/2011
Last updated
01/14/2012
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