Peterson, Connie Marie
Peterson, Connie Marie is an individual health care provider with primary practice located at 2351 Vandenburg Dr , Alexandria LA 71303-5609. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Peterson, Connie Marie can be contacted via phone (318) 483-7336.Contact Information
Primary practice address
2351 Vandenburg Dr
Alexandria LA 71303-5609
Phone: (318) 483-7336
Fax: (318) 483-7088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 13816 | Louisiana |
Profile Details
| NPI number | 1831190131 |
|---|---|
| LBN Legal business name | Peterson, Connie Marie |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831190131 | NPPES |
| Louisiana | Other | 13816 | BOARD OF PHARMACY |
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