# MR. STEVEN ROBERT PETRILLO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1134440407
- **Gender:** Man
- **Credential:** R.PH. REGISTERED PHA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 23960 | MA | Yes |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 3143 | NH | — |

## Other

- **Enumeration date:** 06/21/2010
- **Last updated:** 06/21/2010