Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH R PETERSEN, RPH
ActiveMR. KENNETH R PETERSEN, RPH is a Pharmacist healthcare provider located in LACEY, Washington. NPI 1972879401 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · LACEY, WA
Registration Details
- NPI Number
- 1972879401
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2012 (14.23336147242 yrs)
- Last Updated
- Mar 29, 2012
- License
-
PH00019664 (WA)
Practice Information
- Address
-
5500 MARTIN WAY ELACEY, WA, 985166326Browse WA providers · Browse ZIP 98516
- Phone
- 3604564057
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in LACEY, WA
| Name | Credential | NPI |
|---|---|---|
| MR. SOOYONG LEE | RPH | 1568596872 |
| DR. NICOLE MARIE MILLER | PHARMD | 1114121084 |
| MR. GEORGE CHRISTIAN WANG | PHARMACIST | 1336336742 |
| KELLY A. HACKNEY | PHARM.D. | 1104075654 |
| MR. SUNIL B THIMMEGOWDA | — | 1689906133 |
| MR. MAHESH GOPALAIAH | RPH | 1558693796 |
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.