MRS. STEPHANIE JEAN PETERSEN PHARM.D. - NPI 1194080135

Q: What is Stephanie Petersen's NPI number?

The NPI number for Stephanie Petersen is 1194080135. It was assigned to this individual provider in the NPPES registry on July 5, 2012.

Q: What is Stephanie Petersen's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

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About Mrs. Stephanie Jean Petersen Pharm.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. STEPHANIE JEAN PETERSEN PHARM.D. (NPI 1194080135) is an individual pharmacist in Maple Grove, Minnesota, licensed in Minnesota (120803) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1194080135

Entity TypeIndividualFemale

Primary Taxonomy183500000X

Provider Legal NameMRS. STEPHANIE JEAN PETERSENCredential: PHARM.D.

Location Address15300 GROVE CIR N, T2223Maple Grove, MN 55369-4469

Mailing Address15300 Grove Cir N, T2223Maple Grove, MN 55369-4469 · (763) 447-2507

Phone(763) 447-2507

Sole ProprietorYes

Enumeration DateJuly 5, 2012

✔ NPI 1194080135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in MN · 120803

Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

15300 GROVE CIR N, Maple Grove, MN 55369

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