| NPI | 1144246000 |
|---|---|
| Doing Business As | PETERSON PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SELMA DZELIL VP Rdo 815-715-8502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 7133-42) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2023-07-10 |