Provider Demographics
NPI:1114442050
Name:PETERSMAN, ANTHONY M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:M
Last Name:PETERSMAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9520 FIELDS ERTEL RD
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-6270
Mailing Address - Country:US
Mailing Address - Phone:513-583-9273
Mailing Address - Fax:513-583-5792
Practice Address - Street 1:9520 FIELDS ERTEL RD
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-6270
Practice Address - Country:US
Practice Address - Phone:513-583-9273
Practice Address - Fax:513-583-5792
Is Sole Proprietor?:No
Enumeration Date:2017-08-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03237059183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist