Individual
DR. GAVAN PETRACCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 PIKE ST, WALGREENS PHARMACY, SEATTLE, WA 98101-2108
(724) 903-8392
(206) 903-8432
Mailing address
222 PIKE ST, WALGREENS PHARMACY, SEATTLE, WA 98101-2108
(724) 903-8392
(206) 903-8432
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60039074
WA
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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