Individual
BRADY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
15034 SHANNON PKWY, ROSEMOUNT, MN 55068-1795
(651) 322-6603
Mailing address
15034 SHANNON PKWY, ROSEMOUNT, MN 55068-1795
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
125222
MN
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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