Individual
SYDNEY ELIZABETH PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4000
Mailing address
221 RICHARD HARRISON WAY, MORGANTOWN, WV 26501-1133
(903) 348-0745
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0012766
WV
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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