Individual
JORDAN MARIE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
737 W 12TH ST, GRAFTON, ND 58237-2117
(701) 352-1760
(701) 352-1761
Mailing address
801 SUMMIT AVE, GRAFTON, ND 58237-1563
(712) 574-6195
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH6233
ND
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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