Individual
MR. MARK DEWITT PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
1600 N 2ND ST, CLINTON, MO 64735-1192
(660) 885-5511
(660) 885-6279
Mailing address
815 N.W. 451 ROAD, CLINTON, MO 64735
(660) 890-4820
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043372
MO
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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