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Individual

ALEXANDER TUCKER PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
99 W 1280 N, TOOELE, UT 84074-9093
(435) 882-0150
(435) 882-1023
Mailing address
99 W 1280 N, TOOELE, UT 84074-9093
(435) 882-0150
(435) 882-1023

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10898394-1701
UT

Other

Enumeration date
03/16/2023
Last updated
03/16/2023
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