NPI 1598776148

Peterson Foodtown INC

Organisation Community/Retail Pharmacy Riverton, UT

Practice location

Address: 1777 W 12600 S, Riverton, UT 84065-7043
Phone: (801) 254-0809
Fax: (801) 254-5982

Authorised official

Name: Monte Peterson
Title: Pres
Phone: (801) 254-0761

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 6120204-1703 (UT)

Other Pharmacy providers in Utah →

Pharmacy

Suppliers Taxonomy 333600000X

Registry record

NPI: 1598776148
Entity type: Organization
NPI issued: 10 Aug 2006
Record last updated: 22 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.