Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samantha Gustafson

Individual provider Pharmacist · NPI 1326334525

Samantha Gustafson is a Pharmacist in Red Lake, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

24760 Hospital Dr
Red Lake, MN 56671
Phone: (218) 679-2825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence 119413 (MN)
Pharmacist Taxonomy 183500000X · Licence 119413 (MN)

Record details

NPI number1326334525
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 26, 2011
Last updated in NPPESMay 11, 2020
Certification dateMay 11, 2020
Mailing address24769 Hospital Drive, Red Lake, MN 56671

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