Individual
CORIN ELLEN PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
115 LOCUST ST, ALLEGAN, MI 49010-1301
(269) 673-4188
Mailing address
124 N EASTERN AVE, ALLEGAN, MI 49010-9044
(269) 673-6826
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
2801-0104-0351-768
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2801-0104-0351-768
PHARMACY TECHNICIAN CERT
—
Enumeration date
08/31/2006
Last updated
07/08/2007
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