Petersen, Jacqueline

Petersen, Jacqueline is an individual health care provider with primary practice located at 8007 W Florissant Ave , Jennings MO 63136-1400. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Petersen, Jacqueline can be contacted via phone (314) 513-0195.

Contact Information

Primary practice address
8007 W Florissant Ave Jennings MO 63136-1400
Phone: (314) 513-0195
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 2013038395 Missouri

Profile Details

NPI number 1588093249
LBN Legal business name Petersen, Jacqueline
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2013
Last updated Nov 4th, 2013 - about 13 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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