Most Relevant Information
Provider Data
| NPI Number: | 1003385139 |
| Provider Name: | THAO NELSON PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | RP00008982 |
Most Important Dates
| Enumeration Date: | 11/19/2018 |
| Last Updated: | 11/19/2018 |
Provider Practice Location
6125 4TH ST NW
ALBUQUERQUE
NM
871075755
Practice Location Phone/Fax
| Phone: | 5053442363 |
| Fax: |
Provider Mailing Location
2501 WISCONSIN ST NE
ALBUQUERQUE
NM
871103753
Provider Mailing Phone/Fax
| Phone: | 5052385015 |
| Fax: |