Individual
SHAWN RENEE PETERKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D.
Contact information
Practice address
1734 MALL DRIVE, DULUTH, MN 55811
(218) 727-3477
(218) 727-2839
Mailing address
1734 MALL DR, DULUTH, MN 55811-3839
(218) 727-3477
(218) 727-2839
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
119501
MN
183500000X
Pharmacist
Primary
15334040
WI
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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