Individual
JASMINE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1210 W BRAKER LN, AUSTIN, TX 78758-3801
(512) 978-9300
Mailing address
1508 COLQUITT AVE, ALBANY, GA 31707-5110
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
RPH028755
GA
Other
Enumeration date
05/23/2016
Last updated
05/24/2016
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