Individual
RYAN JOSEPH PETRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
1685 17TH AVE E, SHAKOPEE, MN 55379-4407
(952) 445-1727
(952) 253-1727
Mailing address
1685 17TH AVE E, SHAKOPEE, MN 55379-4407
(952) 445-1727
(952) 253-1727
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119686
MN
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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