Individual
ALVIN NYBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
308 W DALLAS ST, BUFFALO, MO 65622-7635
(417) 345-6500
(417) 345-6565
Mailing address
PO BOX 710, BUFFALO, MO 65622-0710
(417) 345-6500
(417) 345-6565
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041118
MO
Other
Enumeration date
02/20/2017
Last updated
11/23/2021
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