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

Samuel Peterson

Individual provider Pharmacist · NPI 1780218149

Samuel Peterson is a Pharmacist in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2020.

Licensed in
WI
In the registry since
2020
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2625 W National Ave
Milwaukee, WI 53204-1068
Phone: (414) 383-4021
Fax: (414) 383-0428
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 17341 (WI)

Record details

NPI number1780218149
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 25, 2020
Last updated in NPPESFebruary 25, 2020
Certification dateFebruary 25, 2020
Mailing address2625 W National Ave, Milwaukee, WI 53204-1068

Other providers in Milwaukee