Individual
MITCHELL LAMONT NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2165 WHITE BEAR AVE N, MAPLEWOOD, MN 55109-2707
(952) 967-5520
Mailing address
12661 212TH AVE NW, ELK RIVER, MN 55330-9086
(763) 228-1581
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
125187
MN
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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