Individual provider · Type 1 NPI

Kelly Lynn Shanley Nordstrom, PharmD

Pharmacist · Menomonie, WI

NPI number 1194930370 Active

Practice location

2321 Stout Rd
Menomonie, WI 54751-7003

Call (715) 233-7500 Map

Fax (715) 233-7501

Mailing address

3706 Tiffany Ln
Eau Claire, WI 54701-5635

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X14450-040 (WI)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1194930370

Kelly Lynn Shanley Nordstrom, PharmD's National Provider Identifier is 1194930370, issued on May 11, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Menomonie, WI. The record was last updated on Jul 8, 2007.