Individual
ROBERT SCOTT NYSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
209 WASHINGTON ST, BRAINERD, MN 56401-3393
(218) 829-3529
(218) 829-1861
Mailing address
209 WASHINGTON ST, BRAINERD, MN 56401-3393
(218) 825-1099
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13324
MN
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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