Individual
JANE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-1961
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-1961
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03439015
OH
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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