Stephanie Marie Petersen, PharmD
Pharmacist in Council Bluffs, IA. Individual provider (NPI-1).
NPI number1982192720
StatusActive
Last updated in NPPESApr 26, 2018
Details
- NPI
- 1982192720
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Marie Petersen
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2018
- Last updated
- Apr 26, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 19167 | IA | Yes |
Practice location
3201 Manawa Centre DrCouncil Bluffs, IA 51501-7674
Phone 712-366-1315 · Fax 712-366-0708
Mailing address
3201 Manawa Centre DrCouncil Bluffs, IA 51501-7674
Phone 712-366-1315 · Fax 712-366-0708
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All 70 Pharmacist providers in Council Bluffs · All 1,434 providers in Council Bluffs
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