Peterson, Royce G
Peterson, Royce G is an individual health care provider with primary practice located at 700 Campbell St , Baker City OR 97814-2212. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Peterson, Royce G can be contacted via phone (541) 523-0607.Contact Information
Primary practice address
700 Campbell St
Baker City OR 97814-2212
Phone: (541) 523-0607
Fax: (541) 523-0589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 0012258 | Oregon |
| Pharmacy Service Providers / Pharmacist | 183500000X | P6405 | Idaho |
Profile Details
| NPI number | 1598038317 |
|---|---|
| LBN Legal business name | Peterson, Royce G |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2012 |
| Last updated | Feb 10th, 2012 - about 12 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598038317 | NPPES |
| Oregon | Other | 0012258 | STATE PHARMACIST LICENSE |
| Oregon | Other | P6405 | STATE PHARMACIST LICENSE |
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