Individual
MR. ANDREW LOREN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
517 N MAIN ST, VIROQUA, WI 54665-1453
(608) 637-8405
(608) 637-8484
Mailing address
E8474 LONE OAK LN, PO BOX 327, VIROQUA, WI 54665-6634
(608) 637-2784
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12546-40
WI
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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