Individual
MR. LYNN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
300 11TH ST W, WILLISTON, ND 58801-5159
(701) 774-3923
(701) 774-8731
Mailing address
301 58TH ST W, STE 239, WILLISTON, ND 58801-7217
(701) 774-3923
(701) 774-8731
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3726
ND
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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