Vernon Elliott Peterson, RPH is a
Pharmacist based in Mountain Lake, Minnesota. Vernon Elliott Peterson is licensed to practice in Minnesota (license number 111199-8) and his current practice location is
1007 3rd Ave, Mountain Lake, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(507) 427-2707.
NPI number for Vernon Elliott Peterson is 1619958279 and his current mailing address is 56618 Lakeshore Dr, Po Box 310, Mountain Lake, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619958279.
Healthcare Provider's Profile
| Full Name | Vernon Elliott Peterson |
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| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 1007 3rd Ave, Mountain Lake, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619958279
- Provider Enumeration Date: 11/10/2005
- Last Update Date: 03/16/2011
Medical Identifiers
Medical identifiers for Vernon Elliott Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619958279 | NPI | - | NPPES |
| 111199-8 | Other | MN | MN PHARMACIST LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 111199-8 (Minnesota) | Primary |
| 183500000X | Pharmacist | 3595 (South Dakota) | Secondary |
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. Vernon Elliott 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 |
|---|
Vernon Elliott Peterson, RPH
56618 Lakeshore Dr, Po Box 310,
Mountain Lake, MN 56159-2329
Ph: (507) 427-3207 | Vernon Elliott Peterson, RPH
1007 3rd Ave,
Mountain Lake, MN 56159-1587
Ph: (507) 427-2707 |
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