Dale Justin Peters, is a
Pharmacist based in Tea, South Dakota. Dale Justin Peters is licensed to practice in South Dakota (license number 5088) and his current practice location is
401 E Ivy Rd Unit 3, Tea, South Dakota. He can be reached at his office (for appointments etc.) via phone at
(605) 940-4620.
NPI number for Dale Justin Peters is 1487229019 and his current mailing address is 401 E Ivy Rd Unit 3, Tea, South Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487229019.
Healthcare Provider's Profile
| Full Name | Dale Justin Peters |
|---|
| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 401 E Ivy Rd Unit 3, Tea, South Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487229019
- Provider Enumeration Date: 05/25/2021
- Last Update Date: 05/25/2021
Medical Identifiers
Medical identifiers for Dale Justin Peters such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487229019 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 183500000X | Pharmacist | 5088 (South Dakota) | 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. Dale Justin Peters 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 |
Dale Justin Peters, 401 E Ivy Rd Unit 3, Tea, SD 57064-2649 Ph: (605) 940-4620 | Dale Justin Peters, 401 E Ivy Rd Unit 3, Tea, SD 57064-2649 Ph: (605) 940-4620 |
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