MR. Blain E. Nyberg, R.PH.

NPI #1023122561 in Minocqua, Wisconsin

Provider Information

NPI Number: 1023122561
Entity Type: Individual
Name: MR. Blain E. Nyberg, R.PH.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: Aug 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 9601 TOWNLINE RD
City: Minocqua
State: Wisconsin
ZIP Code: 54548-9099
Phone: (715) 358-1217

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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