Organization
PETERSONCOMPOUNDING PLLC
Active
Other names
COMPOUNDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA REBECCA PETERSON PHARM D (OWNER)
(870) 562-2901
Entity
Organization
Contact information
Practice address
608 E NORTH ST, MAGNOLIA, AR 71753-3121
(870) 562-2901
(870) 562-2903
Mailing address
608 E NORTH ST, MAGNOLIA, AR 71753-3121
(870) 562-2901
(870) 562-2903
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
AR PD 08327
AR
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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