Provider Demographics
NPI:1730303504
Name:NUGYN, INC.
Entity Type:Organization
Organization Name:NUGYN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:DR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:OLSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:763-398-0108
Mailing Address - Street 1:1633 COUNTY HIGHWAY 10
Mailing Address - Street 2:SUITE 15
Mailing Address - City:SPRING LAKE PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55432-2140
Mailing Address - Country:US
Mailing Address - Phone:763-398-0108
Mailing Address - Fax:763-398-0109
Practice Address - Street 1:1633 COUNTY HIGHWAY 10
Practice Address - Street 2:SUITE 15
Practice Address - City:SPRING LAKE PARK
Practice Address - State:MN
Practice Address - Zip Code:55432-2140
Practice Address - Country:US
Practice Address - Phone:763-398-0108
Practice Address - Fax:763-398-0109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy