Anthony Lee Peterson, PHARMD.

NPI #1902248040 in Plummer, Idaho

Provider Information

NPI Number: 1902248040
Entity Type: Individual
Name: Anthony Lee Peterson, PHARMD.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD.
Enumeration Date: Jul 17, 2013
Last Updated: Jan 15, 2019

Practice Location

Address: 427 N 12TH STREET
City: Plummer
State: Idaho
ZIP Code: 83851
Phone: (208) 686-5081

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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