Individual
GEOFFREY DAVID PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
15 SMITHFIELD RD, NORTH PROVIDENCE, RI 02904-5312
(401) 353-4075
Mailing address
15 SMITHFIELD RD, NORTH PROVIDENCE, RI 02904-5312
(401) 353-4075
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH27443
MA
183500000X
Pharmacist
RPH06094
RI
Other
Enumeration date
05/06/2013
Last updated
07/06/2020
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