Peterson, Patricia
Peterson, Patricia is an individual health care provider with primary practice located at 1105 Michigan Ave , Orofino ID 83544-2625. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Peterson, Patricia can be contacted via phone (208) 476-5727.Contact Information
Primary practice address
1105 Michigan Ave
Orofino ID 83544-2625
Phone: (208) 476-5727
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | P5043 | Idaho |
Profile Details
| NPI number | 1972643237 |
|---|---|
| LBN Legal business name | Peterson, Patricia |
| Credentials | R.PH. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2007 |
| 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 | 1972643237 | NPPES |
| Idaho | Other | P5043 | STATE PHARMACIST LICENSE |
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