Individual
NELLIANNA EDELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2111 ADAMS AVE, LA GRANDE, OR 97850-2921
(541) 663-2706
Mailing address
704 G AVE, LA GRANDE, OR 97850-1233
(303) 906-6812
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0020552
OR
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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