Individual
TRAVIS GLENN PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
420 MEMORIAL DR, HANSON, KY 42413-9499
(270) 821-4031
Mailing address
762 OSBORNE LN, MADISONVILLE, KY 42431-7522
(502) 663-3287
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
020817
KY
1835P2201X
Ambulatory Care Pharmacist
26028360A
IN
Other
Enumeration date
09/09/2019
Last updated
08/23/2024
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