Gustafson, Kyle

Gustafson, Kyle is an sole proprietor health care provider with primary practice located at 18697 Bagley Rd , Middleburg Heights OH 44130-3497. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Critical Care. Pharmacy Service Providers / Critical Care is his primary health care specialty. Gustafson, Kyle can be contacted via phone (440) 816-4496.

Contact Information

Primary practice address
18697 Bagley Rd Middleburg Heights OH 44130-3497
Phone: (440) 816-4496
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 03229742 Ohio
Pharmacy Service Providers / Critical Care 1835C0205X 03229742 Ohio

Profile Details

NPI number 1992326300
LBN Legal business name Gustafson, Kyle
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2020
Last updated Apr 27th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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