Individual
MATTHEW JOHN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2501 WALTON BLVD, WARSAW, IN 46582-6500
(574) 269-7941
Mailing address
2501 WALTON BLVD, WARSAW, IN 46582-6500
(574) 269-7941
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024747A
IN
Other
Enumeration date
10/19/2022
Last updated
08/04/2025
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