NPI 1275149718

John C Peterson, PHARMACIST

Practitioner Pharmacist Verona, WI

Practice location

Address: 1602 Hidden Hill Dr, Verona, WI 53593-7970
Phone: (608) 848-5956
Fax: (608) 848-5956
Mailing address: 632 Ethan Ter, Verona, WI 53593-2244

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 16303 (WI)

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Registry record

NPI: 1275149718
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Sep 2020
Record last updated: 5 Jan 2021

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.