Individual
BROOKELYN MARIE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1700 WHEELING ST, AURORA, CO 80045-7211
(303) 398-6340
Mailing address
N5806 STATE HIGHWAY 180, MARINETTE, WI 54143-9350
(715) 923-0969
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22777-40
WI
Other
Enumeration date
09/12/2024
Last updated
09/17/2024
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