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NPI Code Detail

MEDICARE: DANIEL ALBERT NYGREN RPH

MEDICARE: DANIEL ALBERT NYGREN RPH
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
1183500000XPharmacistRP441059PA

General Provider Information

NPI Number : 1871883108
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL ALBERT NYGREN RPH
Provider Business Mailing Address
First Line : 5 CHURCH ST
Second Line :
City : DALLAS
State : PA
Zip : 18612-1155
Country : US
Telephone Number : 570-675-1076
Fax Number :
Provider Business Practice Location Address
First Line : 5 CHURCH ST
Second Line :
City : DALLAS
State : PA
Zip : 18612-1155
Country : US
Telephone Number : 570-675-1076
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2011
Last Update Date : 04/07/2026

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Directions to “ DANIEL ALBERT NYGREN RPH” Practice Location

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