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Individual
AMELIA IRENE PETERSEN
Active
Individual
AMELIA IRENE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
126490
MN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
24449
IA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
6956
SD
Other
Enumeration date
01/25/2024
Last updated
01/09/2025
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