Individual
MRS. ALYCE ESTELLE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
300 STATE ST, PHILLIPSBURG, KS 67661-1930
(785) 543-5131
(785) 543-5844
Mailing address
300 STATE ST, PHILLIPSBURG, KS 67661-1930
(785) 543-5131
(785) 543-5844
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-16021
KS
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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