Individual
MR. JON BRADLEY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2100 16TH AVE S STE 112, BIRMINGHAM, AL 35205-5021
(205) 380-6170
(205) 380-6172
Mailing address
6422 DEERFOOT CROSSING DR, TRUSSVILLE, AL 35173-3612
(205) 655-3663
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15501
AL
Other
Enumeration date
06/23/2007
Last updated
11/05/2011
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