Individual
SHANNON C NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6904 BETH AVE, PAPILLION, NE 68133-2119
(402) 658-4556
Mailing address
6904 BETH AVE, PAPILLION, NE 68133-2119
(402) 658-4556
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10288
NE
Other
Enumeration date
11/18/2005
Last updated
05/29/2013
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