Individual
AMANDA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
600 CAISSON HILL RD, FORT RILEY, KS 66442-7037
(785) 239-7619
Mailing address
3933 FORREST CREEK CIR, MANHATTAN, KS 66503-7599
(308) 201-0029
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-17157
KS
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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