Individual
MRS. NANCY V SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 WEST 5TH ST, STARBUCK, MN 56381-0399
(320) 239-2246
(320) 239-2296
Mailing address
710 MEADOW LN, STARBUCK, MN 56381-4504
(320) 239-4361
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
700466-9
MN
Other
Enumeration date
06/22/2005
Last updated
07/17/2007
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