IndividualActive
Jen Petersen, RPH
NPI 1760258701 · Pharmacist · Spirit Lake, IA
Provider details
- NPI number
- 1760258701
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Female
- Sole proprietor
- No
- License
- 17899 (IA)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
2202 17th St
Spirit Lake, IA 51360
Phone: (712) 336-4731
Fax: (800) 604-9151
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 303
Spirit Lake, IA 51360-0303
Registry dates
- Enumerated
- 2023-11-30
- Last updated
- 2023-11-30
- Certified
- 2023-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.