Individual
CHARINA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6414 NE BOTHELL WAY, KENMORE, WA 98028-4819
(425) 486-7711
Mailing address
PO BOX 82057, KENMORE, WA 98028-0057
(425) 486-7711
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00020440
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PH00020440
WA
Other
Enumeration date
12/14/2006
Last updated
05/15/2022
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