Mrs Tiffany D Peterson, PHARMD is a
Pharmacist based in Siren, Wisconsin. Mrs Tiffany D Peterson is licensed to practice in Arizona (license number 15552) and her current practice location is
24106 State Road 35 70, Siren, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 349-2221.
NPI number for Mrs Tiffany D Peterson is 1962691154 and her current mailing address is Po Box 503, Siren, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962691154.
Healthcare Provider's Profile
| Full Name | Mrs Tiffany D Peterson |
|---|
| Gender | Female |
|---|
| Speciality | Pharmacist |
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| Location | 24106 State Road 35 70, Siren, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1962691154
- Provider Enumeration Date: 10/24/2007
- Last Update Date: 10/11/2019
Medical Identifiers
Medical identifiers for Mrs Tiffany D Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962691154 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 15552 (Arizona) | 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. Mrs Tiffany D 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 |
|---|
Mrs Tiffany D Peterson, PHARMD
Po Box 503,
Siren, WI 54872-0503
Ph: (715) 349-2221 | Mrs Tiffany D Peterson, PHARMD
24106 State Road 35 70,
Siren, WI 54872-8006
Ph: (715) 349-2221 |
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