Individual
DOUGLAS PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3685 LADSON RD, LADSON, SC 29456-4304
(843) 879-5288
Mailing address
3685 LADSON RD, LADSON, SC 29456-4304
(843) 879-5288
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14047
SC
183500000X
Pharmacist
16566
LA
183500000X
Pharmacist
16718
CO
Other
Enumeration date
01/31/2012
Last updated
07/08/2022
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