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

Mr. Wayne Peterson, RPH

Individual provider Pharmacist · NPI 1497032692

Mr. Wayne Peterson, RPH is a Pharmacist in Glendale, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2011
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

17550 N 79th Ave
Glendale, AZ 85308-8711
Phone: (623) 776-4002
Fax: (623) 776-4021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 12626 (AZ)

Record details

NPI number1497032692
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorYes
NPI enumeratedNovember 16, 2011
Last updated in NPPESNovember 16, 2011
Mailing address10919 W Deanne Dr, Sun City, AZ 85351-4311

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