Individual
MR. COLIN ANTHONY PETERS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
141 KIRKS RD, NARROWSBURG, NY 12764-6431
(845) 252-3003
(845) 252-3616
Mailing address
PO BOX 167, NARROWSBURG, NY 12764-0167
(845) 252-3003
(845) 252-3616
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
31321
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015104750001
—
PA
05
—
01344590
—
NY
Enumeration date
12/11/2006
Last updated
12/17/2008
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