Most Relevant Information
Provider Data
| NPI Number: | 1003240318 |
| Provider Name: | KATELYN WENTWORTH PELTIER PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 14177 |
Most Important Dates
| Enumeration Date: | 08/23/2013 |
| Last Updated: | 08/23/2013 |
Provider Practice Location
4212 N 16TH ST
PHOENIX
AZ
850165319
Practice Location Phone/Fax
| Phone: | 6022631200 |
| Fax: |
Provider Mailing Location
PO BOX 31001-0698
PASADENA
CA
911100698
Provider Mailing Phone/Fax
| Phone: | 6022631200 |
| Fax: |