SAMANTHA GUSTAFSON

RED LAKE, MN
NPI1326334525
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: MN  119413)
Additional Taxonomies183500000X Pharmacist
(Licence: MN  119413)
Enumeration Date2011-06-26
Last Update Date2020-05-11
Business Address
SAMANTHA GUSTAFSON
24760 HOSPITAL DRIVE
RED LAKE, MN 56671
Phone number: 218-679-2825
Mailing Address
SAMANTHA GUSTAFSON
24769 HOSPITAL DRIVE
RED LAKE, MN 56671
Phone number: