Lisa Peterson, PHARMD

NPI #1558646687 in Lewiston, Idaho

Provider Information

NPI Number: 1558646687
Entity Type: Individual
Name: Lisa Peterson, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Oct 20, 2011
Last Updated: Oct 20, 2011

Practice Location

Address: 332 THAIN RD
City: Lewiston
State: Idaho
ZIP Code: 83501-5337
Phone: (208) 743-6511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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