Individual
CARRIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
760 N VAN DYKE RD, BAD AXE, MI 48413-9012
(989) 269-9517
(989) 269-7605
Mailing address
760 N VAN DYKE RD, BAD AXE, MI 48413-9012
(989) 269-9517
(989) 269-7605
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302037139
MI
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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