Athena Peterson

NPI #1194196170 in Meriden, Connecticut

Provider Information

NPI Number: 1194196170
Entity Type: Individual
Name: Athena Peterson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 15, 2015
Last Updated: Oct 15, 2015

Practice Location

Address: 474 CHAMBERLAIN HWY
City: Meriden
State: Connecticut
ZIP Code: 06451-1818
Phone: (203) 217-1562

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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