Brianna Rae Peternell
NPI #1194328690 in Cedar Lake, Indiana
Provider Information
- NPI Number
- 1194328690
- Entity Type
- Individual
- Name
- Brianna Rae Peternell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Nov 17, 2020
- Last Updated
- Nov 17, 2020
Practice Location
- Address
- 11115 W 133RD AVE
- City
- Cedar Lake
- State
- Indiana
- ZIP Code
- 46303-9742
- Phone
- (219) 374-5688
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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