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NPI Code Detail

MEDICARE: NELSON PHARMACY CONSULTING SERVICES, PLC

MEDICARE: NELSON PHARMACY CONSULTING SERVICES, PLC
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
1332B00000XDurable Medical Equipment & Medical Supplies
2333600000XPharmacy
33336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1IB5137OTHERIAPTAN
28063570001OTHERIAPTAN

General Provider Information

NPI Number : 1417529942
Entity Type Code : Organization
Provider Name (Legal Business Name) : NELSON PHARMACY CONSULTING SERVICES, PLC
Provider Business Mailing Address
First Line : 2404 AVENUE L
Second Line :
City : FORT MADISON
State : IA
Zip : 52627-3933
Country : US
Telephone Number : 319-372-2300
Fax Number : 319-372-2357
Provider Business Practice Location Address
First Line : 2404 AVENUE L
Second Line :
City : FORT MADISON
State : IA
Zip : 52627-3933
Country : US
Telephone Number : 319-372-2300
Fax Number : 319-372-2357
Authorized Official
Title or Position : OWNER/PIC
Name : THOMAS E NELSON
Credential : RPH
Telephone Number : 319-372-2300
Provider Enumeration Date : 07/14/2021
Last Update Date : 01/23/2023

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