Individual
KIMBERLY B PETRUCCELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD,MBA
Contact information
Practice address
1313 N UNION ST, WILMINGTON, DE 19806-2533
(302) 658-1381
Mailing address
402 GEDDES ST, WILMINGTON, DE 19805-3717
(302) 652-6757
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
A1-0003481
DE
183500000X
Pharmacist
RP439708
PA
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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