Peterson, Chax Brandon
Peterson, Chax Brandon is an sole proprietor health care provider with primary practice located at 8093 N Cornerstone Dr , Hayden ID 83835-8753. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Peterson, Chax Brandon can be contacted via phone (208) 762-9355.Contact Information
Primary practice address
8093 N Cornerstone Dr
Hayden ID 83835-8753
Phone: (208) 762-9355
Fax: (208) 762-9198
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | P5271 | Idaho |
Profile Details
| NPI number | 1407272065 |
|---|---|
| LBN Legal business name | Peterson, Chax Brandon |
| Credentials | PHARM. D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2014 |
| Last updated | Mar 6th, 2014 - about 12 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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