Individual
RYAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1766 COFFEEN AVE, SHERIDAN, WY 82801-5710
(307) 674-1936
Mailing address
993 JUNIPER LN, ALBERTON, MT 59820-9619
(503) 507-5881
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3662
WY
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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