Robert Scott Nystrom, R.PH. Valid NPI
Individual provider · Pharmacist · Brainerd, MN
- NPI
- 1588211015
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 13324 (MN)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2019-08-20
- Last updated
- 2019-08-20
Practice location
209 Washington St
Brainerd, MN 56401-3393
(218) 829-3529