Individual
JOHN NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5633 N LIDGERWOOD ST, SPOKANE, WA 99208-1224
(509) 482-2262
Mailing address
1814 S DEARBORN ST, SPOKANE, WA 99223-1064
(509) 954-3270
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
T-100465
MS
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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