Richard Petersen
NPI #1043515224 in Longview, Washington
Provider Information
- NPI Number
- 1043515224
- Entity Type
- Individual
- Name
- Richard Petersen
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Jan 19, 2011
- Last Updated
- Jan 19, 2011
Practice Location
- Address
- 1227 15TH AVE
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-3022
- Phone
- (360) 575-6606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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