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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
1333600000XPharmacy
23336L0003XLong Term Care Pharmacy

General Provider Information

NPI Number : 1831863216
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 : 319-376-2358
Fax Number : 319-372-4418
Provider Business Practice Location Address
First Line : 2402 AVENUE L
Second Line :
City : FORT MADISON
State : IA
Zip : 52627-3933
Country : US
Telephone Number : 319-376-2358
Fax Number : 319-372-4418
Authorized Official
Title or Position : OWNER/PIC
Name : TOM NELSON
Credential : RPH
Telephone Number : 319-372-2300
Provider Enumeration Date : 08/09/2021
Last Update Date : 08/15/2022

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