DR. Kent H Petersen, PHARM.D.

NPI #1447466347 in Logan, Utah

Provider Information

NPI Number: 1447466347
Entity Type: Individual
Name: DR. Kent H Petersen, PHARM.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARM.D.
Enumeration Date: May 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1550 N MAIN ST
City: Logan
State: Utah
ZIP Code: 84341-1918
Phone: (435) 753-0990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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