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Mr. Kenneth R Petersen, RPH
Pharmacist in Lacey, Washington
NPI 1972879401

Kenneth R Petersen is a Pharmacist based in Lacey, WA. Kenneth R Petersen practices in Lacey, WA and has the professional credentials of RPH. The NPI Number for Kenneth R Petersen is 1972879401 and holds a License No. PH00019664 (Washington).

The current practice location address for Kenneth R Petersen is 5500 Martin Way E, Lacey, WA and can be reached out via phone at 360-456-4057.

Location: 5500 Martin Way E, Lacey, WA, 98516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972879401
Provider Name
Kenneth R Petersen
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
5500 Martin Way E, Lacey, WA, 98516
Phone Number
360-456-4057
Fax Number
Provider Enumeration Date
03/29/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5500 Martin Way E
City
Lacey
State
Washington
Zip
98516-6326
Phone Number
360-456-4057
Fax Number
person
Provider Business Mailing Address Details
Address
5500 Martin Way E
City
Lacey
State
Washington
Zip
98516-6326
Phone Number
360-456-4057
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
PH00019664 (Washington)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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