Individual provider · Type 1 NPI

Samantha Gustafson

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Red Lake, MN

NPI number 1326334525 Active

Practice location

24760 Hospital Drive
Red Lake, MN 56671

Mailing address

24769 Hospital Drive
Red Lake, MN 56671

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X119413 (MN)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary 1835P0018X119413 (MN)

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

24 other providers at this address

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About NPI 1326334525

Samantha Gustafson's National Provider Identifier is 1326334525, issued on Jun 26, 2011. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Red Lake, MN. The record was last updated on May 11, 2020.