MARK DOUGLAS NELSON

WYOMING, MN
NPI1346304219
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: MN  112843-1)
Enumeration Date2006-12-21
Last Update Date2007-07-08
Business Address
-- MARK DOUGLAS NELSON R. Ph.
5200 FAIRVIEW BLVD PHARMACY
WYOMING, MN 55092-8013
Phone number: 651-982-7237
Mailing Address
-- MARK DOUGLAS NELSON R. Ph.
670 MINDY CRK
SAINT CROIX FALLS, WI 54024-9413
Phone number: 715-483-3152