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

Conner Peterson, PHARMD

Individual provider Pharmacist · NPI 1104379064

Conner Peterson, PHARMD is a Pharmacist in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2016
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

455 S Broadway Ave
Boise, ID 83702-7643
Phone: (208) 331-4187
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence P7602 (ID)

Record details

NPI number1104379064
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedJuly 27, 2016
Last updated in NPPESJuly 27, 2016
Mailing address455 S Broadway Ave, Boise, ID 83702-7643

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