Individual
ANGELA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
EAST HWY 18, PINE RIDGE, SD 57770-1201
(605) 867-3048
(605) 867-3279
Mailing address
206 E 10TH ST, GORDON, NE 69343-1110
(308) 282-1291
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11138
NE
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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