Search › Washington › 183500000X
Mark Petersen, PHARMD
NPI 1548608649 · on the registry since 2013
Practice
- Address
- 140 E Main St
Othello, WA 99344 - Phone
- (509) 488-5256
- Fax
- (509) 331-1612
- Clinicians at this address
- 22
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-06-11
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 Washington