JAMES ROBERT PETERSEN

WATERLOO, IA
NPI1922219641
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: IA  14811)
Additional Taxonomies183500000X Pharmacist
(Licence: IA  IA14811)
Enumeration Date2007-05-24
Last Update Date2007-07-08
Business Address
Mr. JAMES ROBERT PETERSEN Rph
4000 UNIVERSITY AVE
WATERLOO, IA 50701-5640
Phone number: 319-236-1786
Mailing Address
Mr. JAMES ROBERT PETERSEN Rph
1109 BOBBI LN
WATERLOO, IA 50701-3230
Phone number: 319-236-1786