Peterson, Justin Robert
Peterson, Justin Robert is an individual health care provider with primary practice located at 3938 Osage Beach Pkwy , Osage Beach MO 65065-2146. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Peterson, Justin Robert can be contacted via phone (573) 348-5081.Contact Information
Primary practice address
3938 Osage Beach Pkwy
Osage Beach MO 65065-2146
Phone: (573) 348-5081
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 2022023819 | Missouri |
Profile Details
| NPI number | 1043942865 |
|---|---|
| LBN Legal business name | Peterson, Justin Robert |
| Credentials | PHARMD, RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2022 |
| Last updated | Jun 29th, 2022 - about 4 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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