Healthcare Provider Details

I. General information

NPI: 1275537904
Provider Name (Legal Business Name): CHRISTIAN KRAUSE NYGAARD RPH, MBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 E COLLEGE AVE
BLUFFTON OH
45817-1403
US

IV. Provider business mailing address

545 E COLLEGE AVE
BLUFFTON OH
45817-1403
US

V. Phone/Fax

Practice location:
  • Phone: 419-358-4884
  • Fax:
Mailing address:
  • Phone: 419-358-4884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number03-2-25166
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number03-2-25166
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: