Trenton James Petersen, PHARMD Valid NPI

Individual provider · Pharmacist · Kanab, UT

NPI

1275883878

Type

Individual (Type 1)

Primary specialty

Pharmacist

Specialty group

Pharmacy Service Providers

Taxonomy code

183500000X

License number

S019412 (AZ)

Sex

Male

Sole proprietor

No

Enumerated

2012-09-12

Last updated

2024-05-08