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:
Health care specialties
| Specialty | Code | License # | 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 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245344217 | NPPES |
| Missouri | MEDICAID | 600053904 | |
| Missouri | Other | 2605129 |
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