Michelle L Petersen, RPH

NPI #1063644953 in Myrtle Point, Oregon

Provider Information

NPI Number
1063644953
Entity Type
Individual
Name
Michelle L Petersen, RPH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Aug 11, 2009
Last Updated
Aug 11, 2009

Practice Location

Address
735 SPRUCE ST
State
Oregon
ZIP Code
97458-1154
Phone
(541) 572-5010

Specialties & Taxonomy Codes

Specialty
Pharmacist

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