Individual
MS. ELANA MARIE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(312) 404-7850
Mailing address
1404 S 2ND AVE, MAYWOOD, IL 60153-2229
(312) 404-7850
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
120850
MN
183500000X
Pharmacist
Primary
2012025424
MO
183500000X
Pharmacist
51297413
IL
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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