Whalio Doctors

NPI 1306454079

Jordan Marie Peterson, PHARMD

Practitioner Pharmacist Grafton, ND

Practice location

Address
737 W 12th St, Grafton, ND 58237-2117
Phone
(701) 352-1760
Fax
(701) 352-1761
Mailing address
801 Summit Ave, Grafton, ND 58237-1563

Registered specialties

Pharmacist Primary
Pharmacy Service Providers Taxonomy 183500000X Licence RPH6233 (ND)

Registry record

NPI
1306454079
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 Jul 2020
Record last updated
20 Jul 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.