Individual
ANGELA M PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
450 KEN PRATT BLVD, LONGMONT, CO 80501-8522
(303) 532-3488
Mailing address
2315 ZLATEN DR APT H304, LONGMONT, CO 80504-2027
(816) 294-5675
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0023191
CO
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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