Gustafson, Mary Catherine
Gustafson, Mary Catherine is an sole proprietor health care provider with primary practice located at 345 Smith Ave N , Saint Paul MN 55102-2346. She recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as her primary health care specialty. Gustafson, Mary Catherine can be contacted via phone (651) 220-6969.Contact Information
Primary practice address
345 Smith Ave N
Saint Paul MN 55102-2346
Phone: (651) 220-6969
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 115775 | Minnesota |
Profile Details
| NPI number | 1568755940 |
|---|---|
| LBN Legal business name | Gustafson, Mary Catherine |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2011 |
| Last updated | May 18th, 2011 - about 13 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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