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Earle Peters

Pharmacist in Mankato, MN. Individual provider (NPI-1).

NPI number1124397252
StatusActive
Last updated in NPPESDec 19, 2011

Details

NPI
1124397252
Entity type
Individual (NPI-1)
Name
Mr. Earle Peters
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 19, 2011
Last updated
Dec 19, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist111614MNYes

Practice location

1270 E Madison Ave
Mankato, MN 56001-5228

Phone 507-388-1315 · Fax 507-388-6369

Mailing address

140 Marion Ln
Mankato, MN 56001-4702

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