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1497032692
WAYNE PETERSON
GLENDALE, AZ
NPI
1497032692
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ 12626)
Enumeration Date
2011-11-16
Last Update Date
2011-11-16
Business Address
Mr. WAYNE PETERSON R.Ph.
17550 N 79TH AVE
GLENDALE, AZ 85308-8711
Phone number: 623-776-4002
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Mailing Address
Mr. WAYNE PETERSON R.Ph.
10919 W DEANNE DR
SUN CITY, AZ 85351-4311
Phone number:
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