Individual
NELSON SHOWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
169 EAST SPRINGBROOK ROAD, BROADWAY, VA 22815-2281
(540) 896-3251
(540) 896-5411
Mailing address
PO BOX 245, BROADWAY, VA 22815-0245
(540) 578-0126
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202004083
VA
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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