Peter James Economen, PHARMD

NPI #1639646557 in Fort Bragg, California

Provider Information

NPI Number: 1639646557
Entity Type: Individual
Name: Peter James Economen, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Oct 29, 2018
Last Updated: Oct 29, 2018

Practice Location

Address: 150 S MAIN ST
City: Fort Bragg
State: California
ZIP Code: 95437-4205
Phone: (707) 961-0464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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