Peters, Dale Justin

Peters, Dale Justin is an individual health care provider with primary practice located at 401 E Ivy Rd Unit 3 , Tea SD 57064-2649. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Peters, Dale Justin can be contacted via phone (605) 940-4620.

Contact Information

Primary practice address
401 E Ivy Rd Unit 3 Tea SD 57064-2649
Phone: (605) 940-4620
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5088 South Dakota

Profile Details

NPI number 1487229019
LBN Legal business name Peters, Dale Justin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2021
Last updated May 25th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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