Individual
COLE RYAN PETERSHAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2805 W TRUMAN BLVD, JEFFERSON CITY, MO 65109-0545
(573) 893-2226
(573) 893-5176
Mailing address
2805 W TRUMAN BLVD, JEFFERSON CITY, MO 65109-0545
(573) 893-2226
(573) 893-5176
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2025034069
MO
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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