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NPI Code Detail

MEDICARE: CHANTEL NICOLE NELSON PHARMD

MEDICARE: CHANTEL NICOLE NELSON PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist26030562AIN

General Provider Information

NPI Number : 1093665531
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANTEL NICOLE NELSON PHARMD
Provider Business Mailing Address
First Line : 5326 OAK KNOLL DR
Second Line :
City : WHITESTOWN
State : IN
Zip : 46075-0380
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2 MIRANOVA PL STE 500
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-7052
Country : US
Telephone Number : 614-321-9743
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

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Directions to “ CHANTEL NICOLE NELSON PHARMD” Practice Location

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