Provider Demographics
NPI:1821372806
Name:ALERE, LJ NELSON (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:LJ
Middle Name:NELSON
Last Name:ALERE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 SOUTH BROADWAY
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-4655
Mailing Address - Country:US
Mailing Address - Phone:785-827-3974
Mailing Address - Fax:
Practice Address - Street 1:700 SOUTH BROADWAY
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-4655
Practice Address - Country:US
Practice Address - Phone:785-827-3974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-07
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-13458183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist