Individual
ADAM LEE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 FRONT ST, JUNEAU, AK 99801-1228
(907) 586-1233
Mailing address
433 4TH ST APT 3, JUNEAU, AK 99801-1095
(406) 396-0987
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHAP1960
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHAP1960
PHARMACIST LICENSE
AK
Enumeration date
04/08/2019
Last updated
04/08/2019
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