Individual
MISS RICHARD W PETTY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1525 BROADWAY ST, SUITE 100, ALEXANDRIA, MN 56308-2537
(320) 763-3146
(320) 763-7231
Mailing address
1525 BROADWAY ST, SUITE 100, ALEXANDRIA, MN 56308-2537
(320) 763-3146
(320) 763-7231
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
111895-9
MN
Other
Enumeration date
10/25/2005
Last updated
07/08/2007
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