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Amy Fossum, PHARMD — NPI 1689950404, Superior, WI | NPI Central

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NPI 1689950404

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Amy Fossum, PHARMD

NPI 1689950404 · Pharmacist · Superior, WI

Provider details

NPI number: 1689950404
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: PHARMD
Sex: Female
Sole proprietor: Yes
License: 13423-040 (WI)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 13423-040 (WI)
Pharmacy Service Providers
Pharmacist183500000XLicense 117366 (MN)
Pharmacy Service Providers

Practice location

2015 Tower Ave

Superior, WI 54880-2538

Phone: (715) 392-9550

Approximate (ZIP-level) locationGet directions

More WI providers

Mailing address

204 Chambersburg Dr

Duluth, MN 55811-3201

Registry dates

Enumerated: 2011-10-25
Last updated: 2011-10-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.