Peterson, Jan Marie

Peterson, Jan Marie is an sole proprietor health care provider with primary practice located at 5537 W Broadway Ave T-0003, Crystal MN 55428-3507. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Peterson, Jan Marie can be contacted via phone (763) 533-1651.

Contact Information

Primary practice address
5537 W Broadway Ave T-0003 Crystal MN 55428-3507
Phone: (763) 533-1651
Fax: (763) 252-2005
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 118191 Minnesota

Profile Details

NPI number 1720374903
LBN Legal business name Peterson, Jan Marie
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2011
Last updated Jun 25th, 2011 - about 15 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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