Daniel Lyle Petersen, PHARMD

NPI #1396092391 in Weston, Wisconsin

Provider Information

NPI Number
1396092391
Entity Type
Individual
Name
Daniel Lyle Petersen, PHARMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
PHARMD
Enumeration Date
Aug 8, 2012
Last Updated
Aug 8, 2012

Practice Location

Address
5305 BUSINESS HIGHWAY 51 S
City
Weston
ZIP Code
54476
Phone
(715) 355-9640

Specialties & Taxonomy Codes

Specialty
Pharmacist

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