Individual provider · Type 1 NPI

Amy Fossum, PharmD

Pharmacist · Superior, WI

NPI number 1689950404 Active

Practice location

2015 Tower Ave
Superior, WI 54880-2538

Call (715) 392-9550 Map

Mailing address

204 Chambersburg Dr
Duluth, MN 55811-3201

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X13423-040 (WI)
Pharmacist 183500000X117366 (MN)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1689950404

Amy Fossum, PharmD's National Provider Identifier is 1689950404, issued on Oct 25, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Superior, WI. The record was last updated on Oct 25, 2011.