Provider Demographics
NPI:1275537904
Name:NYGAARD, CHRISTIAN KRAUSE (RPH, MBA)
Entity Type:Individual
Prefix:MR
First Name:CHRISTIAN
Middle Name:KRAUSE
Last Name:NYGAARD
Suffix:
Gender:M
Credentials:RPH, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 E COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:OH
Mailing Address - Zip Code:45817-1403
Mailing Address - Country:US
Mailing Address - Phone:419-358-4884
Mailing Address - Fax:
Practice Address - Street 1:545 E COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:OH
Practice Address - Zip Code:45817-1403
Practice Address - Country:US
Practice Address - Phone:419-358-4884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-251661835P1200X, 1835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Not Answered1835G0303XPharmacy Service ProvidersPharmacistGeriatric