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Individual
VERNON ELLIOTT PETERSON
Active
Individual
VERNON ELLIOTT PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
111199
MN
183500000X
Pharmacist
Primary
111199-8
MN
183500000X
Pharmacist
3595
SD
333600000X
Pharmacy
Primary
267371
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111199-8
MN PHARMACIST LICENSE
MN
01
—
119330
PHARMACIST LICENSE
MN
01
—
267371
PHARMACY LICENSE
MN
Enumeration date
11/10/2005
Last updated
05/13/2026
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