Individual
DONALD CLINTON PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-3330
(928) 669-3333
Mailing address
2320 BRYCE LN, LAKE HAVASU CITY, AZ 86406-8356
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5857
AZ
183500000X
Pharmacist
RP00003701
NM
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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