Petersoncompounding Pllc

NPI #1245562313 in Magnolia, Arkansas

Provider Information

NPI Number: 1245562313
Entity Type: Organization
Organization Name: Petersoncompounding Pllc
Primary Specialty: Pharmacist
Enumeration Date: Feb 1, 2010
Last Updated: Feb 1, 2010

Practice Location

Address: 608 E NORTH ST
City: Magnolia
State: Arkansas
ZIP Code: 71753-3121
Phone: (870) 562-2901

Authorized Official

Name: DR. LINDA REBECCA PETERSON, PHARM D
Title: OWNER
Phone: (870) 562-2901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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