MR. Peter Johan Pienaar

NPI #1306146204 in Fort Bragg, California

Provider Information

NPI Number: 1306146204
Entity Type: Individual
Name: MR. Peter Johan Pienaar
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 25, 2010
Last Updated: Oct 25, 2010

Practice Location

Address: 660 S MAIN ST
City: Fort Bragg
State: California
ZIP Code: 95437-5108
Phone: (707) 964-4058

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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