Individual
DR. CODY RICHARD NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
1915 WISCONSIN AVE, GRAFTON, WI 53024-2605
(262) 377-0352
Mailing address
1915 WISCONSIN AVE, GRAFTON, WI 53024-2605
(262) 377-0352
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19567-40
WI
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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