Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cole Ryan Petershagen, PHARMD

Individual provider Pharmacist · NPI 1700753225

Cole Ryan Petershagen, PHARMD is a Pharmacist in Jefferson City, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2025
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

2805 W Truman Blvd
Jefferson City, MO 65109-0545
Phone: (573) 893-2226
Fax: (573) 893-5176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 2025034069 (MO)

Record details

NPI number1700753225
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedOctober 20, 2025
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025

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