Individual
DR. ERIC M PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
4100 UNIVERSITY AVE, DES MOINES, IA 50311-3533
(515) 633-8606
Mailing address
190 S WESTGATE DR, WAUKEE, IA 50263-8163
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18827
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0209874
—
IA
Enumeration date
02/14/2007
Last updated
07/08/2007
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