Most Relevant Information
Provider Data
| NPI Number: | 1003415159 |
| Provider Name: | LISA NELSON PHARM.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 015020 |
Most Important Dates
| Enumeration Date: | 10/20/2020 |
| Last Updated: | 10/20/2020 |
Provider Practice Location
995 S MAIN ST
NICHOLASVILLE
KY
403562151
Practice Location Phone/Fax
| Phone: | 8598819086 |
| Fax: |
Provider Mailing Location
995 S MAIN ST
NICHOLASVILLE
KY
403562151
Provider Mailing Phone/Fax
| Phone: | 8598819086 |
| Fax: |