Nancy V Samuelson

Individual provider Active NPI Pharmacy Technician · Starbuck, MN

NPI 1477559565 · NPPES record last updated Jul 17, 2007

Key facts

NPI
1477559565
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
700466-9 (MN)
Practice address
118 West 5TH St
Starbuck, MN 56381-0399
Phone
(320) 239-2246
Fax
(320) 239-2296
NPI assigned
Jun 22, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
700466-9MNMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Das Pharmaceutical Services Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 700466-9 MN Yes

Addresses

Primary practice location

118 West 5TH St
Starbuck, MN 56381-0399

Mailing address

710 Meadow LN
Starbuck, MN 56381-4504
Phone (320) 239-4361

Other providers in Starbuck, MN

All providers in Starbuck, MN · Pharmacy Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.