Individual
DR. PAUL E PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.,BCPS
Contact information
Practice address
425 5TH AVE N, 1ST FLOOR CHB, NASHVILLE, TN 37243-0001
(615) 741-8529
(615) 741-3857
Mailing address
1534 HUDSON RD, MADISON, TN 37115-5702
(615) 612-2729
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
11766
TN
1835P1200X
Pharmacotherapy Pharmacist
53191
CA
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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