Nyberg Pharmacy

LBN: Nyberg Pharmacy Inc
Nyberg Pharmacy is an health care organization with primary practice located at 315 S Ash , Buffalo MO 65622-0860. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Nyberg Pharmacy Inc can be contacted via phone (417) 345-2321, or through Nyberg, Dwight via phone (417) 345-2321.

Contact Information

Primary practice address
315 S Ash Buffalo MO 65622-0860
Phone: (417) 345-2321
Fax: (417) 345-8837
Website:
Map and Directions
Authorized official contact:
Name: Nyberg, Dwight RPH
Phone: (417) 345-2321

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 004441 Missouri
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1245344217
LBN Legal business name Nyberg Pharmacy Inc
DBA Doing business as Nyberg Pharmacy
Authorized official Nyberg, Dwight RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Jan 27th, 2012 - about 14 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 1245344217 NPPES
Missouri MEDICAID 600053904
Missouri Other 2605129

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