DR. Mary Elizabeth Gustafson, PHARM.D.

NPI #1336634377 in Osceola, Wisconsin

Provider Information

NPI Number: 1336634377
Entity Type: Individual
Name: DR. Mary Elizabeth Gustafson, PHARM.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARM.D.
Enumeration Date: Jun 22, 2018
Last Updated: Jun 22, 2018

Practice Location

Address: 2600 65TH AVE
City: Osceola
State: Wisconsin
ZIP Code: 54020-4370
Phone: (715) 294-4050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist — Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	1835P0018X

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