Durand Fresh Market

LBN: L & P Nyberg Llc
Durand Fresh Market is an health care organization with primary practice located at 520 W Main St , Durand WI 54736-1065. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. L & P Nyberg Llc can be contacted via phone (715) 672-5900, or through Nyberg, Phillip via phone (651) 380-9061.

Contact Information

Primary practice address
520 W Main St Durand WI 54736-1065
Phone: (715) 672-5900
Fax: (715) 672-5908
Website:
Map and Directions
Authorized official contact:
Name: Nyberg, Phillip
Phone: (651) 380-9061

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 6151 Wisconsin
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1023166394
LBN Legal business name L & P Nyberg Llc
DBA Doing business as Durand Fresh Market
Authorized official Nyberg, Phillip
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2007
Last updated Sep 12th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023166394 NPPES
Other 5114905 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 33018900 OTHER ID NUMBER-COMMERCIAL NUMBER

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