Individual
JACQUELINE NESLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
20173 US 23 S, PRESQUE ISLE, MI 49777-9061
(989) 278-8464
Mailing address
20173 US 23 S, PRESQUE ISLE, MI 49777-9061
(989) 464-2448
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5315145501
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5315145501
PHARMACIST LICENSE
MI
Enumeration date
05/22/2020
Last updated
04/25/2023
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