Individual provider · Type 1 NPI

Michael Peterson, PHARMR

Pharmacist · Wautoma, WI

NPI number 1295412880 Active

Practice location

400 S Townline Rd
Wautoma, WI 54982-6922

Fax (920) 787-4737

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X12940-40 (WI)

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 1295412880

Michael Peterson, PHARMR's National Provider Identifier is 1295412880, issued on Jul 5, 2023. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Wautoma, WI. The record was last updated on Jul 5, 2023.