Individual
GRETA JANE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1330 E UNIVERSITY AVE, DES MOINES, IA 50316-2460
(402) 730-2502
Mailing address
604 LOCUST ST APT 402, DES MOINES, IA 50309-3741
(402) 730-2502
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23938
IA
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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