Individual
DONALD ALLAN SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
118 W 5TH ST, BOX 399, STARBUCK, MN 56381-2426
(320) 239-2246
Mailing address
28137 N SHORE DR, STARBUCK, MN 56381-2350
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
113507-1
MN
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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