Mrs Tracy Elizabeth Samson, RPH is a
Pharmacist based in Osseo, Minnesota. Mrs Tracy Elizabeth Samson is licensed to practice in Minnesota (license number 116412-3) and her current practice location is
24 3rd St Ne, Osseo, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(763) 493-5242.
NPI number for Mrs Tracy Elizabeth Samson is 1942403340 and her current mailing address is 15681 84th Pl N, Maple Grove, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942403340.
Healthcare Provider's Profile
| Full Name | Mrs Tracy Elizabeth Samson |
|---|
| Gender | Female |
|---|
| Speciality | Pharmacist |
|---|
| Location | 24 3rd St Ne, Osseo, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1942403340
- Provider Enumeration Date: 06/06/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Tracy Elizabeth Samson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942403340 | NPI | - | NPPES |
| 2418526 | Other | MN | NABP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 116412-3 (Minnesota) | Primary |
| 183500000X | Pharmacist | 3861 (North Dakota) | Secondary |
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. Mrs Tracy Elizabeth Samson 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 |
|---|
Mrs Tracy Elizabeth Samson, RPH
15681 84th Pl N,
Maple Grove, MN 55311-1560
Ph: (763) 420-7861 | Mrs Tracy Elizabeth Samson, RPH
24 3rd St Ne,
Osseo, MN 55369-1212
Ph: (763) 493-5242 |
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