Individual
DR. SCOTT PETERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 719-8141
Mailing address
817 FAIRVIEW ST, RAPID CITY, SD 57701-4517
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5140
SD
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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