Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA GUSTAFSON
Active Sole ProprietorPharmacist Clinician (PhC) · RED LAKE, MN
Registration Details
- NPI Number
- 1326334525
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 26, 2011 (14.839236399242 yrs)
- Last Updated
- May 11, 2020
- Licenses
-
119413 (MN)119413 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
24760 HOSPITAL DRIVERED LAKE, MN, 56671Browse MN providers · Browse ZIP 56671
- Phone
- 2186792825
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
- Additional Specialty
- Pharmacist Clinician (PhC)
Other Pharmacist Clinician (PhC) Providers in RED LAKE, MN
| Name | Credential | NPI |
|---|---|---|
| MRS. TERESA RENAE GRUND | R.PH | 1639152119 |
| MRS. KAILEE LYNN FRETLAND | PHARM D | 1730291907 |
| MRS. CHRISTEL SVINGEN | PHARM. D. | 1609990027 |
| DR. SHANI LEE SHRIVER | PHARM.D. | 1851617773 |
| STEPHANIE ERIN GLESSING | PHARM.D. | 1275822199 |
| ALLAN DEMUTH | — | 1689092983 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.