Peterson, Samantha Lea

Peterson, Samantha Lea is an sole proprietor health care provider with primary practice located at 401 2Nd St , Ida Grove IA 51445-1302. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Peterson, Samantha Lea can be contacted via phone (712) 364-2120.

Contact Information

Primary practice address
401 2Nd St Ida Grove IA 51445-1302
Phone: (712) 364-2120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 21459 Iowa

Profile Details

NPI number 1497125835
LBN Legal business name Peterson, Samantha Lea
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2015
Last updated Sep 28th, 2015 - about 9 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.

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