MEDICARE: MRS. TERRI LYNN PETERS BSC., R.PH.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	13796	MD

General Provider Information

NPI Number	:	1043549751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TERRI LYNN PETERS BSC., R.PH.

Provider Business Mailing Address
First Line	:	1835 BRIGHTSEAT RD
Second Line	:	95 OFFICE PARK
City	:	LANDOVER
State	:	MD
Zip	:	20785-4250
Country	:	US
Telephone Number	:	301-386-0857
Fax Number	:	301-386-0859

Provider Business Practice Location Address
First Line	:	1835 BRIGHTSEAT RD
Second Line	:	95 OFFICE PARK
City	:	LANDOVER
State	:	MD
Zip	:	20785-4250
Country	:	US
Telephone Number	:	301-386-0857
Fax Number	:	301-386-0859

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2009
Last Update Date	:	12/09/2009

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