Individual
DR. BRADLEY TYLER PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
8315 MAGNOLIA ESTATES DR, CORNELIUS, NC 28031-7837
(704) 895-7062
Mailing address
13334 OLD STORE RD, HUNTERSVILLE, NC 28078-7435
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
34821
NC
390200000X
Student in an Organized Health Care Education/Training Program
02537
NC
390200000X
Student in an Organized Health Care Education/Training Program
I-49482
SC
Other
Enumeration date
10/14/2024
Last updated
07/26/2026
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