Mark Eugene Petersen, PHARMD

Pharmacist · Othello, WA

Individual Active NPI

NPI number 1548608649

Practice location

140 E Main St
Othello, WA 99344-1040
Phone
(509) 488-5256
Fax
(509) 331-1612

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NPI record

NPI
1548608649
Entity type
Individual (Type 1)
Enumeration date
June 11, 2013
Last updated
June 11, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X PH60341057 WA

About Dr. Petersen

Mark Eugene Petersen, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 140 E Main St, Othello, WA 99344-1040. The NPI number 1548608649 was assigned on June 11, 2013 and the record was last updated on June 11, 2013.

Dr. Petersen lists a license in the registry: #PH60341057 (WA) 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 Eugene Petersen, PHARMD?

The NPI number is 1548608649.

What is the phone number of Dr. Petersen?

The phone number listed for the practice location is (509) 488-5256.

Where is Dr. Petersen located?

140 E Main St, Othello, WA 99344-1040.

What is the taxonomy code for Dr. Petersen?

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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