Individual provider · Type 1 NPI

Conner Peterson, PharmD

Pharmacist · Boise, ID

NPI number 1104379064 Active

Practice location

455 S Broadway Ave
Boise, ID 83702-7643

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XP7602 (ID)

Pharmacist: 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 modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1104379064

Conner Peterson, PharmD's National Provider Identifier is 1104379064, issued on Jul 27, 2016. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Boise, ID. The record was last updated on Jul 27, 2016.