Individual
MR. THOMAS E NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2404 AVENUE L, FORT MADISON, IA 52627-3933
(319) 372-2300
Mailing address
2402 HILLCREST RD, DONNELLSON, IA 52625-9160
(319) 835-9065
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18793
IA
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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