Mark C. Peterson

Pharmacist · Waconia, MN

Individual Active NPI

NPI number 1255252078

Practice location

500 S Maple St
Waconia, MN 55387-1791
Phone
(952) 442-2191

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NPI record

NPI
1255252078
Entity type
Individual (Type 1)
Enumeration date
July 25, 2026
Last updated
July 25, 2026
Certified
July 25, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 124999 MN

About Mark Peterson

Mark C. Peterson is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 500 S Maple St, Waconia, MN 55387-1791. The NPI number 1255252078 was assigned on July 25, 2026 and the record was last updated on July 25, 2026.

Mark Peterson lists a license in the registry: #124999 (MN) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark C. Peterson?

The NPI number is 1255252078.

What is the phone number of Mark Peterson?

The phone number listed for the practice location is (952) 442-2191.

Where is Mark Peterson located?

500 S Maple St, Waconia, MN 55387-1791.

What is the taxonomy code for Mark Peterson?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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