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Dr. Mary Elizabeth Gustafson, PHARMD
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Osceola, Wisconsin
NPI 1336634377

Mary Elizabeth Gustafson is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist based in Center City, WI and is specialized in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Mary Elizabeth Gustafson practices in Osceola, WI and has the professional credentials of PHARMD. The NPI Number for Mary Elizabeth Gustafson is 1336634377 and holds a License No. 115719 (Wisconsin).

The current practice location address for Mary Elizabeth Gustafson is 2600 65Th Ave, Osceola, WI and can be reached out via phone at 715-294-4050 and via fax at 715-294-5690.

Location: 2600 65Th Ave, Osceola, WI, 55012-9652
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336634377
Provider Name
Mary Elizabeth Gustafson
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
2600 65Th Ave, Osceola, WI, 55012-9652
Phone Number
715-294-4050
Fax Number
715-294-5690
Provider Enumeration Date
06/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2600 65Th Ave
City
Osceola
State
Wisconsin
Zip
54020-4370
Phone Number
715-294-4050
Fax Number
715-294-5690
person
Provider Business Mailing Address Details
Address
2600 65Th Ave
City
Osceola
State
Wisconsin
Zip
54020-4370
Phone Number
715-294-4050
Fax Number
715-294-5690
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
15851-40 (Wisconsin)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
person
Provider's Taxonomy Details 2
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Taxonomy
1835P0018X
License No.
115719 (Minnesota)
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
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