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 YOUNG AMERICA, MN 55368-9507
(952) 467-2100
(952) 467-2489
Mailing address
345 WILLIAM LAKE SHORE DR, WACONIA, MN 55387-9772
(651) 334-7322
(952) 442-3284
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
561663000
—
MN
Enumeration date
11/13/2018
Last updated
11/13/2018
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