Healthcare Provider Details

I. General information

NPI: 1992272611
Provider Name (Legal Business Name): PAMELA MARIE GUSS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2018
Last Update Date: 10/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 N 7TH ST
BISMARCK ND
58501-4439
US

IV. Provider business mailing address

300 N 7TH ST
BISMARCK ND
58501-4439
US

V. Phone/Fax

Practice location:
  • Phone: 701-323-5420
  • Fax: 701-323-5713
Mailing address:
  • Phone: 701-323-5420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberND5999
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: