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Samuel Peterson
NPI 1780218149 · on the registry since 2020
Practice
- Address
- 2625 W National Ave
Milwaukee, WI 53204 - Phone
- (414) 383-4021
- Fax
- (414) 383-0428
- Organisation at this address
- Walgreen Co.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-02-25
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 Wisconsin