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NPI Code Detail

MEDICARE: NUGYN, INC.

MEDICARE: NUGYN, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336M0002XMail Order PharmacyMN

General Provider Information

NPI Number : 1730303504
Entity Type Code : Organization
Provider Name (Legal Business Name) : NUGYN, INC.
Provider Business Mailing Address
First Line : 1633 COUNTY HIGHWAY 10
Second Line : SUITE 15
City : SPRING LAKE PARK
State : MN
Zip : 55432-2140
Country : US
Telephone Number : 763-398-0108
Fax Number : 763-398-0109
Provider Business Practice Location Address
First Line : 1633 COUNTY HIGHWAY 10
Second Line : SUITE 15
City : SPRING LAKE PARK
State : MN
Zip : 55432-2140
Country : US
Telephone Number : 763-398-0108
Fax Number : 763-398-0109
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : DR. CURTIS E. OLSON
Credential : PH.D.
Telephone Number : 763-398-0108
Provider Enumeration Date : 04/12/2007
Last Update Date : 07/21/2022

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Directions to “NUGYN, INC. ” Practice Location

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