IndividualActive
Alexander Peterson, PHARMD
NPI 1649971516 · Community/Retail Pharmacy · Tooele, UT
Provider details
- NPI number
- 1649971516
- Entity type
- Individual
- Primary specialty
- Community/Retail PharmacySuppliers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 10898394-1701 (UT)
Specialties & taxonomies
Suppliers
Practice location
99 W 1280 N
Tooele, UT 84074-9093
Phone: (435) 882-0150
Fax: (435) 882-1023
Approximate (ZIP-level) locationGet directions
Mailing address
99 W 1280 N
Tooele, UT 84074-9093
Registry dates
- Enumerated
- 2023-03-16
- Last updated
- 2023-03-16
- Certified
- 2023-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.