Gustafson, Amanda

Gustafson, Amanda is an individual health care provider with primary practice located at 15250 Cedar Ave , Apple Valley MN 55124-7017. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Gustafson, Amanda can be contacted via phone (952) 432-5557.

Contact Information

Primary practice address
15250 Cedar Ave Apple Valley MN 55124-7017
Phone: (952) 432-5557
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 6169 South Dakota
Pharmacy Service Providers / Pharmacist 183500000X 121968 Minnesota

Profile Details

NPI number 1215341219
LBN Legal business name Gustafson, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2014
Last updated Jun 11th, 2021 - 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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