David William Peterson, RPH

NPI #1376828590 in Eagle River, Wisconsin

Provider Information

NPI Number: 1376828590
Entity Type: Individual
Name: David William Peterson, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Oct 19, 2011
Last Updated: Oct 19, 2011

Practice Location

Address: 108 W WALL ST
City: Eagle River
State: Wisconsin
ZIP Code: 54521-9811
Phone: (715) 479-1069

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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