Search › California › 183500000X
Peter Economen, PHARMD
NPI 1639646557 · on the registry since 2018 · sole proprietor
Practice
- Address
- 150 S Main St
Fort Bragg, CA 95437 - Phone
- (707) 961-0464
- Organisation at this address
- Longs Drug Stores California Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 150 S Main St, Fort Bragg, CA
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-10-29
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 California