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

Mrs. Stephanie Jean Petersen, PHARMD

Individual provider Pharmacist · NPI 1194080135

Mrs. Stephanie Jean Petersen, PHARMD is a Pharmacist in Maple Grove, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
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.

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Practice location Address checks out

15300 Grove Cir N T2223
Maple Grove, MN 55369-4469
Phone: (763) 447-2507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 120803 (MN)

Record details

NPI number1194080135
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedJuly 5, 2012
Last updated in NPPESJuly 5, 2012

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