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

Mr. Michael Lee Petersen, RPH

Individual provider Pharmacist · NPI 1639785579

Mr. Michael Lee Petersen, RPH is a Pharmacist in Eau Claire, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2020.

Licensed in
WI
In the registry since
2020
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

900 W Clairemont Ave
Eau Claire, WI 54701-6122
Phone: (715) 717-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 11357-40 (WI)

Record details

NPI number1639785579
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedSeptember 16, 2020
Last updated in NPPESSeptember 16, 2020
Certification dateSeptember 16, 2020

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