Individual provider · Type 1 NPI

Gary Phillip Peterson, PharmD

Pharmacist · Rockford, IL

NPI number 1619258639 Active

Practice location

2404 S Perryville Rd
Rockford, IL 61108-8231

Call (815) 332-3256 Map

Fax (815) 332-4180

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051.290809 (IL)

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 1619258639

Gary Phillip Peterson, PharmD's National Provider Identifier is 1619258639, issued on Sep 3, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Rockford, IL. The record was last updated on Sep 3, 2011.