Individual
JOHN RICHARD PETRICONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
288 UNION AVE, LACONIA, NH 03246-3115
(603) 528-1700
Mailing address
99 EASTMAN SHORE RD N, LACONIA, NH 03246-1436
(603) 528-6012
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
R857
NH
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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