Individual
STEPHANIE MARIE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3201 MANAWA CENTRE DR, COUNCIL BLUFFS, IA 51501-7674
(712) 366-1315
(712) 366-0708
Mailing address
3201 MANAWA CENTRE DR, COUNCIL BLUFFS, IA 51501-7674
(712) 366-1315
(712) 366-0708
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19167
IA
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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