Provider Demographics
NPI:1427651009
Name:NELSON, CHERELLE (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:CHERELLE
Middle Name:
Last Name:NELSON
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:837 SCHOONER DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-5661
Mailing Address - Country:US
Mailing Address - Phone:951-775-4820
Mailing Address - Fax:
Practice Address - Street 1:350 W LAKE MEAD PKWY
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89015-7379
Practice Address - Country:US
Practice Address - Phone:702-216-1901
Practice Address - Fax:702-216-1911
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV20627183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist