Individual
DR. PETRINA MARIE STITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
2501 CAPEHART RD, EHRLING BERGQUIST CLINIC USAF, OFFUTT A F B, NE 68113-1043
(402) 294-7358
Mailing address
2501 CAPEHART RD, EHRLING BERGQUIST CLINIC USAF, OFFUTT A F B, NE 68113-1043
(402) 294-7358
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12511
NE
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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