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Carl Peterson, PharmD

Pharmacist in Bozeman, MT. Individual provider (NPI-1).

NPI number1003402017
StatusActive
Last updated in NPPESDec 14, 2020

Details

NPI
1003402017
Entity type
Individual (NPI-1)
Name
Carl Peterson
Credential
PharmD
Sex
Male
Sole proprietor
No
Enumeration date
Dec 14, 2020
Certification date
Dec 14, 2020
Last updated
Dec 14, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistPHA-PHA-LIC-73448MTYes

Practice location

200 S 23rd Ave
Bozeman, MT 59718-3965

Phone 406-586-4785

Mailing address

200 S 23rd Ave
Bozeman, MT 59718-3965

Phone 406-586-4785

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