Individual
MR. BRIAN WARD NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
9350 DYNASTY DR, TARGET 2369, FORT MYERS, FL 33905-5574
(239) 265-9023
(239) 265-9033
Mailing address
9350 DYNASTY DR, TARGET 2369, FORT MYERS, FL 33905-5574
(239) 265-9023
(239) 265-9033
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PS0015183
FL
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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