Individual provider · NPI-1

Gregory B Amundson, PharmD

Pharmacist · Mankato, MN

NPI number1619504594
StatusActive
Last updated in NPPESMar 23, 2020

Details

NPI
1619504594
Entity type
Individual (NPI-1)
Name
Gregory B Amundson
Credential
PharmD
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 23, 2020
Certification date
Mar 23, 2020
Last updated
Mar 23, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist120669MNYes

Practice location

1175 Madison Ave
Mankato, MN 56001-5227

Phone 507-625-1791

Mailing address

1175 Madison Ave
Mankato, MN 56001-5227

Phone 507-625-1791

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pharmacist providers in Mankato, MN