Vernon Elliott Peterson in Mountain Lake - Pharmacist
Vernon Elliott Peterson - NPI 1619958279
Vernon Elliott Peterson is a Pharmacist in Mountain Lake, Minnesota. Vernon Elliott Peterson practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Vernon Elliott Peterson is 1619958279. The last update date is 2011-03-16.
Vernon Elliott Peterson's current location address is 56618 Lakeshore Dr, Mountain Lake, Minnesota. You can contact this provider via phone number 5074273207. The mailing address for Vernon Elliott Peterson is 56618 Lakeshore Dr, Mountain Lake, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vernon Elliott Peterson |
|---|---|
| Address | 56618 Lakeshore Dr, Mountain Lake, Minnesota |
| Phone Number | 5074273207 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RPH. |
NPI Number Detail
| NPI Number | 1619958279 |
|---|---|
| Provider Enumeration Date | 2005-11-10 |
| Last Updated Date | 2011-03-16 |
Provider Mailing Address Detail
| Address | 56618 Lakeshore Dr |
|---|---|
| City | Mountain Lake |
| State | Minnesota (MN) |
| Post Code | 561592329 |
| Phone Number | 5074273207 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 111199-8 |
|
Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 111199-8 | MN | MN PHARMACIST LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Vernon Elliott Peterson by the Centers for Medicare & Medicaid Services?
The Vernon Elliott Peterson has been assigned the NPI (National Provider Identifier) 1619958279 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Vernon Elliott Peterson?
The Vernon Elliott Peterson is physically situated at 56618 Lakeshore Dr, in the city of Mountain Lake, state of MN, with the postal code 561592329.
What is the Vernon Elliott Peterson's specialty and taxonomy code?
The Vernon Elliott Peterson's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1619958279 to Vernon Elliott Peterson?
The Vernon Elliott Peterson received its 1619958279 assignment from the Centers for Medicare & Medicaid Services on 2005-11-10.
When was the information pertaining to Vernon Elliott Peterson most recently updated or revised?
The details related to Vernon Elliott Peterson, including its address, specialty, and other relevant information, were last updated or revised on 2011-03-16.
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