Abby Peterson, PHARM.D.
Individual provider Active NPI Pharmacist · Rosebud, SD
NPI 1295967735 · NPPES record last updated Aug 18, 2009
Key facts
- NPI
- 1295967735
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5706 (SD)
- Practice address
- 400 Soldier Creek Road
Rosebud, SD 57570 - Phone
- (605) 747-3278
- Fax
- (605) 747-5335
- NPI assigned
- Aug 18, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5706 | SD | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5706 | SD | Yes |
Addresses
Primary practice location
400 Soldier Creek Road
Rosebud, SD 57570
Mailing address
400 Soldier Creek Road
Rosebud, SD 57570
Phone (605) 747-3278
Other providers in Rosebud, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.