| NPI | 1912379504 |
|---|---|
| Doing Business As | PETERSON PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ALTAMASH KHAN Manager 224-619-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054.019535) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2016-01-21 |