Individual
DANIELLE PETRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 CONGAREE RD, SUITE F, GREENVILLE, SC 29607-3502
(864) 241-0477
Mailing address
4 HEATHER STONE CT, SIMPSONVILLE, SC 29680-7140
(774) 254-3001
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
13934
SC
183500000X
Pharmacist
Primary
23925
MA
Other
Enumeration date
08/26/2015
Last updated
10/06/2016
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