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Organization

NYA PHARMACY LLC

Active
Other names
Marsden Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN LOEGERING PHARMD (PRESIDENT)
(651) 334-7322
Entity
Organization

Contact information

Practice address
402 FAXON RD N, NORWOOD, MN 55368-9507
(952) 467-2100
(952) 467-2489
Mailing address
PO BOX 600, NORWOOD YOUNG AMERICA, MN 55368-0600
(952) 467-2100
(952) 467-2489

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
264871
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2155598
PK
05
561663000
MN
Enumeration date
12/21/2015
Last updated
01/08/2019
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