DR. Samantha Lea Peterson, PHARM.D.

NPI #1497125835 in Ida Grove, Iowa

Provider Information

NPI Number: 1497125835
Entity Type: Individual
Name: DR. Samantha Lea Peterson, PHARM.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARM.D.
Enumeration Date: Sep 28, 2015
Last Updated: Sep 28, 2015

Practice Location

Address: 401 2ND ST
City: Ida Grove
State: Iowa
ZIP Code: 51445-1302
Phone: (712) 364-2120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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