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Individual

JEFFREY C. PETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMAIST

Contact information

Practice address
500 N US HWY 89, PRESCOTT, AZ 86313
(928) 445-4860
Mailing address
7136 EAST GRANITE PEAKS, PRESCOTT VALLEY, AZ 86314
(928) 445-4860

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3725
ND

Other

Enumeration date
08/30/2006
Last updated
07/08/2007
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