Individual provider · Type 1 NPI

Timothy Daniel Petersen, R.PH.

Pharmacist · Grayling, MI

NPI number 1609158369 Active

Practice location

2045 S I 75 Business Loop
Grayling, MI 49738-2039

Fax (989) 344-0968

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	5302029407 (MI)

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 1609158369

Timothy Daniel Petersen, R.PH.'s National Provider Identifier is 1609158369, issued on Sep 19, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Grayling, MI. The record was last updated on Sep 19, 2011.