Individual
AMANDA PETRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
324 4TH AVE, SIDNEY, OH 45365-1102
(937) 492-0700
Mailing address
324 4TH AVE, SIDNEY, OH 45365-1102
(937) 492-0700
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03233761
OH
Other
Enumeration date
11/22/2020
Last updated
11/22/2020
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