Most Relevant Information
Provider Data
| NPI Number: | 1003402124 |
| Provider Name: | JOSHUA TYLER NELSON RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 03337270 |
Most Important Dates
| Enumeration Date: | 12/13/2020 |
| Last Updated: | 12/13/2020 |
Provider Practice Location
2409 ARGILLITE RD
FLATWOODS
KY
411391955
Practice Location Phone/Fax
| Phone: | 6068338027 |
| Fax: | 6068332567 |
Provider Mailing Location
2247 SPRING VALLEY DR
HUNTINGTON
WV
257049480
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |