Individual
MS. TRACY C PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
8601 DOUGLAS AVE, URBANDALE, IA 50322-2201
(515) 270-2225
Mailing address
113 E KIRKWOOD AVE, DES MOINES, IA 50315-1719
(515) 280-3781
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17111
IA
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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