NPI 1053931659

Deborah Peterson, RPH

Practitioner Pharmacist Pewaukee, WI

Practice location

Address: 2135 Silvernail Rd, Pewaukee, WI 53072-5525
Phone: (262) 513-9221
Mailing address: W290n8208 Florencetta Hts, Hartland, WI 53029-9537

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 12719 (WI)

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Registry record

NPI: 1053931659
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Apr 2020
Record last updated: 23 Apr 2020

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.