MARK EUGENE PETERSEN PHARMD
NPI 1548608649
Pharmacist in Othello, WA

Q: What is Mark Petersen's NPI number?

The NPI number for Mark Petersen is 1548608649. It was assigned to this individual provider in the NPPES registry on June 11, 2013.

Q: What is Mark Petersen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Petersen was last updated on June 11, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 11, 2013

140 E MAIN ST, OTHELLO, WA 99344(509) 488-5256(509) 331-1612 Get Directions Write a Review

NPPES record last updated: June 11, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mark Eugene Petersen Pharmd NPPES

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

MARK EUGENE PETERSEN PHARMD (NPI 1548608649) is an individual pharmacist in Othello, Washington, licensed in Washington (PH60341057) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1548608649

Entity TypeIndividualMale

Primary Taxonomy183500000X

Provider Legal NameMARK EUGENE PETERSENCredential: PHARMD

Location Address140 E MAIN STOthello, WA 99344-1040

Mailing Address140 E Main StOthello, WA 99344-1040 · (509) 488-5256 · Fax (509) 331-1612

Phone(509) 488-5256

Fax(509) 331-1612

Sole ProprietorNo

Enumeration DateJune 11, 2013

✔ NPI 1548608649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in WA · PH60341057

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.

140 E MAIN ST, Othello, WA 99344

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