Individual
DR. BENJAMIN T NYBOER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4461 HICKORY RIDGE BLVD, GREENWOOD, IN 46143-7455
(860) 907-0640
Mailing address
4461 HICKORY RIDGE BLVD, GREENWOOD, IN 46143-7455
(812) 219-6505
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024541A
IN
Other
Enumeration date
11/25/2019
Last updated
02/20/2023
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