Judy A Peterson R.PH., M.S.

NPI 1386704476 - Pharmacist - 1835X0200X

NPI Details
NPI 1386704476
Gender Female
Enumeration Date 12/11/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2200 BERGQUIST DR
SUITE 1
LACKLAND AFB TX, 78236-9908, US
Phone (210) 292-7396
Fax (210) 292-6748
Business Location
145 SEEWALD RD
BOERNE TX, 78006-5005, US
Phone (830) 230-5524
Fax
Toxanomy
Taxonomy Code 1835X0200X
License State Texas
License Number 16899
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According to our database, Mrs. Judy A Peterson R.PH., M.S. NPI is 1386704476, taxonomy code is 1835X0200X and license number is 16899, license state is located at Texas. Judy A Peterson R.PH., M.S. physically located at 2200 Bergquist Dr, Lackland Afb TX, 78236-9908. NPI Number Judy A Peterson R.PH., M.S. has the Individual type.

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1386704476 NPI number is provided on an as is basis without warranty of any kind. 1386704476 is maintained by the National Plan & Provider Enumeration System. The contents of Judy A Peterson R.PH., M.S. are for informational purposes only.