Organization
PETERSON PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SELMA DZELIL (VP RDO)
(815) 715-8502
Entity
Organization
Contact information
Practice address
727 WATER AVE, HILLSBORO, WI 54634-6229
(608) 489-3141
(608) 489-2821
Mailing address
727 WATER AVE, HILLSBORO, WI 54634-6229
(608) 489-3141
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
01/28/2022
Last updated
09/25/2023
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