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

Timothy Daniel Petersen, RPH

Individual provider Pharmacist · NPI 1609158369

Timothy Daniel Petersen, RPH is a Pharmacist in Grayling, Michigan. Licensed in Michigan. Registered with an NPI since 2011.

Licensed in
MI
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

2045 S I 75 Business Loop
Grayling, MI 49738-2039
Phone: (989) 344-0374
Fax: (989) 344-0968
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5302029407 (MI)

Record details

NPI number1609158369
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedSeptember 19, 2011
Last updated in NPPESSeptember 19, 2011
Mailing address2045 S I 75 Business Loop, Grayling, MI 49738-2039

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