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Organization
DOUGLAS E NYKANEN
Active
Organization
DOUGLAS E NYKANEN
Active
Other names
OSCEOLA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS NYKANEN RPH (OWNER AND PHARM)
(715) 294-2110
Entity
Organization
Contact information
Practice address
120 N CASCADE ST, OSCEOLA, WI 54020-7000
(715) 294-2110
(715) 294-1617
Mailing address
PO BOX 279, OSCEOLA, WI 54020-0279
(715) 294-2110
(715) 294-1617
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
6601-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33048000
—
WI
01
—
5117228
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/18/2006
Last updated
05/31/2011
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