Mark Eugene Petersen, PHARMD

NPI #1548608649 in Othello, Washington

Provider Information

NPI Number
1548608649
Entity Type
Individual
Name
Mark Eugene Petersen, PHARMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
PHARMD
Enumeration Date
Jun 11, 2013
Last Updated
Jun 11, 2013

Practice Location

Address
140 E MAIN ST
ZIP Code
99344-1040
Phone
(509) 488-5256

Specialties & Taxonomy Codes

Specialty
Pharmacist

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