Individual
SAMANTHA GUSTAFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24760 HOSPITAL DRIVE, RED LAKE, MN 56671
(218) 679-2825
Mailing address
24769 HOSPITAL DRIVE, RED LAKE, MN 56671
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
119413
MN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
119413
MN
Other
Enumeration date
06/26/2011
Last updated
05/11/2020
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