Alyssa J Hastings, RPH, PHARMD
Individual provider Active NPI Pharmacist · Two Harbors, MN
NPI 1740565951 · NPPES record last updated Oct 30, 2012
Key facts
- NPI
- 1740565951
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 118832 (MN)
- Practice address
- 1010 4TH St
Two Harbors, MN 55616-1200 - Phone
- (218) 834-7799
- Fax
- (218) 834-7797
- NPI assigned
- Oct 19, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118832 | MN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 118832 | MN | Yes |
Addresses
Primary practice location
1010 4TH St
Two Harbors, MN 55616-1200
Mailing address
1010 4TH St
Two Harbors, MN 55616-1200
Phone (218) 834-7799
Other providers in Two Harbors, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.