Individual
MRS. JUDY A PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH., M.S.
Contact information
Practice address
2200 BERGQUIST DR, SUITE 1, LACKLAND AFB, TX 78236-9908
(210) 292-7396
(210) 292-6748
Mailing address
145 SEEWALD RD, BOERNE, TX 78006-5005
(830) 230-5524
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
16899
TX
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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