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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Popular Providers