Individual
MARY BETH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
HY-VEE DRUGSTORE #7026, 2001 BLAIRS FERRY RD NE, CEDAR RAPIDS, IA 52402
(319) 393-0561
Mailing address
1188 QUINN AVE, AURORA, IA 50607-9708
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14812
IA
Other
Enumeration date
05/08/2007
Last updated
10/02/2007
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