Individual
TANYA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3448 S 3200 W, WEST VALLEY, UT 84119-2628
(801) 359-2256
(385) 255-9731
Mailing address
4700 TRAMWAY BLVD NE, ALBUQUERQUE, NM 87111-2979
(505) 292-5888
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008404
NM
Other
Enumeration date
09/15/2016
Last updated
01/20/2025
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