PETERSON PHARMACY INC
Pharmacy at Lake St, Pierport, MI

License number
Michigan 5301006652
Category
Pharmacy
Type
Pharmacist
Owner
Name: LEAH M PETERSON RPH
Title: PRESIDENT
Phone: (231) 864-3114
Address
Address
7717 Lake St, Pierport, MI 49614
National Provider ID: 1144212812
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PETERSON PHARMACY, INC

Pierport, MI

Registration:
Aug 26, 1997
Addresses:
7717 Lk St, Bear Lake, MI 49614 (Physical)
PO Box 248, Bear Lake, MI 49614 (Mailing)
State ID:
491855
Business type:
Domestic Profit Corporation
Agent:
Leah Marie Peterson

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