Gordon E Peterson, PHARMD is a
Pharmacist based in Villa Park, California. Gordon E Peterson is licensed to practice in California (license number 22984) and his current practice location is
18561 Rosenau Cir, Villa Park, California. He can be reached at his office (for appointments etc.) via phone at
(714) 390-5075.
NPI number for Gordon E Peterson is 1841510708 and his current mailing address is 18561 Rosenau Cir, Villa Park, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841510708.
Healthcare Provider's Profile
| Full Name | Gordon E Peterson |
|---|
| Gender | Male |
|---|
| Speciality | Pharmacist |
|---|
| Location | 18561 Rosenau Cir, Villa Park, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1841510708
- Provider Enumeration Date: 06/02/2010
- Last Update Date: 07/05/2010
Medical Identifiers
Medical identifiers for Gordon E Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841510708 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 22984 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gordon E Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Gordon E Peterson, PHARMD
18561 Rosenau Cir,
Villa Park, CA 92861-2847
Ph: (714) 390-5075 | Gordon E Peterson, PHARMD
18561 Rosenau Cir,
Villa Park, CA 92861-2847
Ph: (714) 390-5075 |
Reviews and Comments