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NPI Code Detail

MEDICARE: SHIRLEY PETERS PHARMD

MEDICARE: SHIRLEY PETERS PHARMD
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
1183500000XPharmacist051040987IL

General Provider Information

NPI Number : 1447531520
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRLEY PETERS PHARMD
Provider Business Mailing Address
First Line : 235 E PALATINE RD
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-3936
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 235 E PALATINE RD
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-3936
Country : US
Telephone Number : 847-394-2420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2011
Last Update Date : 09/02/2011

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Directions to “ SHIRLEY PETERS PHARMD” Practice Location

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