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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAN MARIE PETERSON, PHARMD

Active Sole Proprietor

JAN MARIE PETERSON, PHARMD is a Pharmacist healthcare provider located in CRYSTAL, Minnesota. NPI 1720374903 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · CRYSTAL, MN

Registration Details

NPI Number
1720374903
Provider Type
Individual
Gender
Female
NPI Issued
Jun 25, 2011 (15.111696757722 yrs)
Last Updated
Jun 25, 2011
License
118191 (MN)
Sole Proprietor
Yes

Practice Information

Address
5537 W BROADWAY AVE
T-0003
CRYSTAL, MN, 554283507
Browse MN providers · Browse ZIP 55428
Phone
7635331651
Fax
7632522005
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in CRYSTAL, MN

Name Credential NPI
DR. CLINT M DWORSHAK PHARM.D. 1053520916
LEE HANSON PHARM. D 1225323439
KAVEKE MUALUKO PHARMD 1598042897
MR. SADIQ DATOO RPH 1770853673
BRITTNI GRACE CRANE PHARM. D 1801238936
MRS. DELINA CARPENTER PHARMD 1821498874
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.