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

Daniel Lyle Petersen, PHARMD

Individual provider Pharmacist · NPI 1396092391

Daniel Lyle Petersen, PHARMD is a Pharmacist in Weston, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2012
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

5305 Business Highway 51 S
Weston, WI 54476
Phone: (715) 355-9640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 15147-40 (WI)

Record details

NPI number1396092391
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedAugust 8, 2012
Last updated in NPPESAugust 8, 2012
Mailing address5305 Business Highway 51 S, Weston, WI 54476-1324

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