Individual
MEGAN M. PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1255 MAIN ST, LANDER, WY 82520-2653
(307) 332-0240
(307) 332-5041
Mailing address
545 S 4TH ST, LANDER, WY 82520-3360
(307) 332-0420
(307) 332-5041
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3042
WY
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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