Peters, Evan

Peters, Evan is an individual health care provider with primary practice located at 1005 Broadway St , Quincy IL 62301-2834. He recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as his primary health care specialty. Peters, Evan can be contacted via phone (217) 223-8400.

Contact Information

Primary practice address
1005 Broadway St Quincy IL 62301-2834
Phone: (217) 223-8400
Fax: (217) 223-2263
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 049214411 Illinois

Profile Details

NPI number 1013590330
LBN Legal business name Peters, Evan
Credentials CPHT
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2021
Last updated Oct 20th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013590330 NPPES
Other 10015096 PHARMACY TECHNICIAN CERTIFICATION
Other 049214411 PHARMACY TECHNICIAN CERTIFICATION

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