Individual provider · Type 1 NPI

Chax Brandon Peterson, PHARM. D.

Pharmacist · Hayden, ID

NPI number 1407272065 Active

Practice location

8093 N Cornerstone Dr
Hayden, ID 83835-8753

Call (208) 762-9355 Map

Fax (208) 762-9198

Mailing address

16654 N Morgan Ln
Hayden, ID 83835-5015

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XP5271 (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…

4 other providers at this address

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About NPI 1407272065

Chax Brandon Peterson, PHARM. D.'s National Provider Identifier is 1407272065, issued on Mar 6, 2014. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Hayden, ID. The record was last updated on Mar 6, 2014.