Connie Rae Peterson in Madison - Pharmacist
Connie Rae Peterson - NPI 1720268592
Connie Rae Peterson is a Pharmacist in Madison, Wisconsin. Connie Rae Peterson practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Connie Rae Peterson is 1720268592. The last update date is 2007-11-22.
Connie Rae Peterson's current location address is 600 Highland Ave, Madison, Wisconsin. You can contact this provider via phone number 6086620817. The mailing address for Connie Rae Peterson is 600 Highland Ave, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Connie Rae Peterson |
|---|---|
| Address | 600 Highland Ave, Madison, Wisconsin |
| Phone Number | 6086620817 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1720268592 |
|---|---|
| Provider Enumeration Date | 2007-11-09 |
| Last Updated Date | 2007-11-22 |
Provider Mailing Address Detail
| Address | 600 Highland Ave |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 537920001 |
| Phone Number | 6086620817 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 9303-040 |
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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 |
|---|---|---|---|
| 9303-040 | WI | PHARAMCIST |
Post Comment/ Review Below
What is the unique identifier code issued to Connie Rae Peterson by the Centers for Medicare & Medicaid Services?
The Connie Rae Peterson has been assigned the NPI (National Provider Identifier) 1720268592. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Connie Rae Peterson?
The Connie Rae Peterson is situated at 600 Highland Ave, in the city of Madison, state of WI, with the zip code 537920001.
What is Connie Rae Peterson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Connie Rae Peterson's specialized field of practice is Pharmacist, and the corresponding taxonomy code that categorizes this area of specialization is 183500000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1720268592 to Connie Rae Peterson?
The Connie Rae Peterson received its 1720268592 assignment from the Centers for Medicare & Medicaid Services on 2007-11-09.
As of what date were the Connie Rae Peterson's details last updated?
The information pertaining to the Connie Rae Peterson, including its address, specialty, and other details, was most recently updated on 2007-11-22.
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