Individual provider · Type 1 NPI

Keven Peterson, 1835P0018X

Pharmacist · Mcminnville, OR

NPI number 1194101873 Active

Practice location

2490 NE Highway 99W
Mcminnville, OR 97128-9204

Fax (503) 435-3128

Mailing address

1655 NW 23rd St
Mcminnville, OR 97128-6601

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRPH-0014096 (OR)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018XRPH-0014096 (OR)

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…

4 other providers at this address

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About NPI 1194101873

Keven Peterson, 1835P0018X's National Provider Identifier is 1194101873, issued on Aug 5, 2015. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Mcminnville, OR. The record was last updated on Dec 24, 2015.