Lara Peterson, RPh
Pharmacist in Yakima, WA. Individual provider (NPI-1).
NPI number1063758985
StatusActive
Last updated in NPPESDec 20, 2012
Details
- NPI
- 1063758985
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lara Peterson
- Credential
- RPh
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 20, 2012
- Last updated
- Dec 20, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 00059649 | WA | Yes |
Practice location
1206 N 40th AveYakima, WA 98908-9456
Phone 509-576-6833
Mailing address
120 Echo Glenn PlYakima, WA 98908-8815
Phone 509-388-8643
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