Mary Gustafson, PHARMD

NPI 1568755940 · on the registry since 2011 · sole proprietor

Practice

Address: 345 Smith Ave N
Saint Paul, MN 55102
Phone: (651) 220-6969
Organisation at this address: Childrens Health Care
Childrens Health Care
Children'S Health Care
Mh Health Care Services, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 137

Registry record

Primary taxonomy: 1835P0018X
1835P0018X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-05-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota