Individual
LARRY G NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
630 24 RD, GRAND JUNCTION, CO 81505-1239
(970) 244-8110
(970) 244-8112
Mailing address
630 24 RD, GRAND JUNCTION, CO 81505-1239
(970) 244-8110
(970) 244-8112
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11095
CO
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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