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

Mark C Peterson

Individual provider Pharmacist · NPI 1255252078

Mark C Peterson is a Pharmacist in Waconia, Minnesota. Licensed in Minnesota. Registered with an NPI since 2026.

Licensed in
MN
In the registry since
2026

Practice location Address checks out

500 S Maple St
Waconia, MN 55387-1791
Phone: (952) 442-2191
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 124999 (MN)

Record details

NPI number1255252078
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 25, 2026
Last updated in NPPESJuly 25, 2026
Certification dateJuly 25, 2026
Mailing address500 S Maple St, Waconia, MN 55387-1791

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