Individual
MRS. COLEEN RENAE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2530 CHICAGO AVE, MINNEAPOLIS, MN 55404-4289
(612) 813-7206
(612) 813-7207
Mailing address
2530 CHICAGO AVE, MINNEAPOLIS, MN 55404-4289
(612) 813-7206
(612) 813-7207
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
114457
MN
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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