Provider Demographics
NPI:1144864109
Name:PETERS, JOHN FRANCIS (RPH)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:FRANCIS
Last Name:PETERS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 MORGANTOWN RD
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-5239
Mailing Address - Country:US
Mailing Address - Phone:412-582-1541
Mailing Address - Fax:724-438-4413
Practice Address - Street 1:355 WALMART DR
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-8424
Practice Address - Country:US
Practice Address - Phone:724-438-3344
Practice Address - Fax:724-438-4413
Is Sole Proprietor?:No
Enumeration Date:2019-11-03
Last Update Date:2019-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP029117L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVRP0005271OtherSTATE BOARD
PARPI008910OtherSTATE BOARD
PARP029117LOtherSTATE BOARD