Stephanie Petersen, PHARM.D

NPI 1194080135 · on the registry since 2012 · sole proprietor

Practice

Address: 15300 Grove Cir N
T2223
Maple Grove, MN 55369
Phone: (763) 447-2507
Organisation at this address: Grand St Paul Cvs Llc
Lang Wieber O.D., P.A.
Luxottica Of America Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-07-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota