Provider Demographics
NPI:1417529942
Name:NELSON PHARMACY CONSULTING SERVICES, PLC
Entity Type:Organization
Organization Name:NELSON PHARMACY CONSULTING SERVICES, PLC
Other - Org Name:NELSON FAMILY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PIC
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:319-372-2300
Mailing Address - Street 1:2404 AVENUE L
Mailing Address - Street 2:
Mailing Address - City:FORT MADISON
Mailing Address - State:IA
Mailing Address - Zip Code:52627-3933
Mailing Address - Country:US
Mailing Address - Phone:319-372-2300
Mailing Address - Fax:319-372-2357
Practice Address - Street 1:2404 AVENUE L
Practice Address - Street 2:
Practice Address - City:FORT MADISON
Practice Address - State:IA
Practice Address - Zip Code:52627-3933
Practice Address - Country:US
Practice Address - Phone:319-372-2300
Practice Address - Fax:319-372-2357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-14
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAIB5137OtherPTAN
IA8063570001OtherPTAN