Individual
CORY PETRETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
175 BROAD ST, GLENS FALLS, NY 12801-4119
(518) 793-0843
Mailing address
462 GLEN ST APT 2, GLENS FALLS, NY 12801-2942
(914) 879-2157
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I064326-1
NY
Other
Enumeration date
06/13/2020
Last updated
06/13/2020
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