Individual
JAIME LYNN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1962 W 1800 N, CLINTON, UT 84015-8328
(801) 502-5310
Mailing address
1962 W 1800 N, CLINTON, UT 84015-8328
(801) 502-5310
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5272404-1701
UT
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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