IndividualActive
Tyler Peterson, PHARMD
NPI 1386219632 · Pharmacist · Garapan, MP
Provider details
- NPI number
- 1386219632
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 0109 (MP)
Mailing address
Po Box 500409
Saipan, MP 96950-0409
Registry dates
- Enumerated
- 2021-05-20
- Last updated
- 2021-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.