Individual provider · Type 1 NPI

Lisa Petersen

Pharmacist · De Smet, SD

NPI number 1407239338 Active

Practice location

213 Calumet Ave SW
De Smet, SD 57231-2161

Fax (605) 854-9114

Mailing address

307 4th St SW
De Smet, SD 57231-2230

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X5091 (SD)

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 1407239338

Lisa Petersen's National Provider Identifier is 1407239338, issued on Jul 9, 2015. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in De Smet, SD. The record was last updated on Jul 9, 2015.