John Theodore Samuelson, PHARMACIST is a
Pharmacist based in Starbuck, Minnesota. John Theodore Samuelson is licensed to practice in Minnesota (license number 111321-3) and his current practice location is
118 W. 5th St., Box 399, Starbuck, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(320) 239-2246.
NPI number for John Theodore Samuelson is 1831194620 and his current mailing address is 710 Meadow Ln, Starbuck, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831194620.
Healthcare Provider's Profile
| Full Name | John Theodore Samuelson |
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| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 118 W. 5th St., Box 399, Starbuck, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1831194620
- Provider Enumeration Date: 06/17/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for John Theodore Samuelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831194620 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 111321-3 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Theodore Samuelson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John Theodore Samuelson, PHARMACIST
710 Meadow Ln,
Starbuck, MN 56381-4504
Ph: (320) 239-4361 | John Theodore Samuelson, PHARMACIST
118 W. 5th St., Box 399,
Starbuck, MN 56381-0399
Ph: (320) 239-2246 |
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