Peterson, Venita

Peterson, Venita is an individual health care provider with primary practice located at 8059 Tara Blvd , Jonesboro GA 30236-3293. She recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as her primary health care specialty. Peterson, Venita can be contacted via phone (770) 478-6353.

Contact Information

Primary practice address
8059 Tara Blvd Jonesboro GA 30236-3293
Phone: (770) 478-6353
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 26019793A Indiana
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 020634 Georgia

Profile Details

NPI number 1720686207
LBN Legal business name Peterson, Venita
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2020
Last updated Oct 15th, 2020 - about 5 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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