Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VERNON ELLIOTT PETERSON, RPH.
Active Sole ProprietorVERNON ELLIOTT PETERSON, RPH. is a Pharmacist healthcare provider located in MOUNTAIN LAKE, Minnesota. NPI 1619958279 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · MOUNTAIN LAKE, MN
Registration Details
- NPI Number
- 1619958279
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 10, 2005 (20.746398529587 yrs)
- Last Updated
- Mar 16, 2011
- Licenses
-
111199-8 (MN)3595 (SD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1007 3RD AVEMOUNTAIN LAKE, MN, 561591587Browse MN providers · Browse ZIP 56159
- Phone
- 5074272707
- Fax
- 5074272328
- Primary Specialty
-
Pharmacist
183500000X
- Additional Specialty
- Pharmacist
Other Pharmacist Providers in MOUNTAIN LAKE, MN
| Name | Credential | NPI |
|---|---|---|
| ALEXANDRA VIVANT HILDEBRANDT | — | 1639033541 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.