Chax Brandon Peterson, PHARM. D.

NPI #1407272065 in Hayden, Idaho

Provider Information

NPI Number: 1407272065
Entity Type: Individual
Name: Chax Brandon Peterson, PHARM. D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARM. D.
Enumeration Date: Mar 6, 2014
Last Updated: Mar 6, 2014

Practice Location

Address: 8093 N CORNERSTONE DR
City: Hayden
State: Idaho
ZIP Code: 83835-8753
Phone: (208) 762-9355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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