Provider Demographics
NPI:1669083341
Name:KNUEVE, PETER LAJOS (PHARMD)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:LAJOS
Last Name:KNUEVE
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 1:6721 CLUB MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79124-1513
Mailing Address - Country:US
Mailing Address - Phone:806-410-4118
Mailing Address - Fax:
Practice Address - Street 1:2205 SE 34TH AVE
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79103-1700
Practice Address - Country:US
Practice Address - Phone:806-373-1452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-14
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66210183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist