Individual
MR. PETER M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1819 S HASTINGS WAY, EAU CLAIRE, WI 54701-4504
(715) 834-3121
Mailing address
1819 S HASTINGS WAY, EAU CLAIRE, WI 54701-4504
(715) 834-3121
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14184-40
WI
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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