Healthcare Provider Details

I. General information

NPI: 1366249476
Provider Name (Legal Business Name): JOSHUA PETERS RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2025
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22265 E QUEEN CREEK RD
QUEEN CREEK AZ
85142-9801
US

IV. Provider business mailing address

5758 E FREESIA LN
SAN TAN VALLEY AZ
85140-0585
US

V. Phone/Fax

Practice location:
  • Phone: 602-457-4320
  • Fax:
Mailing address:
  • Phone: 480-430-6002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS027412
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: