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Individual

RONALD L. PETRIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
209 ROUTE 101, BEDFORD, NH 03110-5440
(603) 472-3919
Mailing address
209 ROUTE 101, BEDFORD, NH 03110-5440
(603) 472-3919

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1951
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51
NH BOARD OF PHARMACY
NH
Enumeration date
08/17/2006
Last updated
07/08/2007
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