MARK EUGENE PETERSEN

OTHELLO, WA
NPI1548608649
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: WA  PH60341057)
Enumeration Date2013-06-11
Last Update Date2013-06-11
Business Address
-- MARK EUGENE PETERSEN PharmD
140 E MAIN ST
OTHELLO, WA 99344-1040
Phone number: 509-488-5256
Mailing Address
-- MARK EUGENE PETERSEN PharmD
140 E MAIN ST
OTHELLO, WA 99344-1040
Phone number: 509-488-5256
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