Individual
COLLIN PETROCHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
58 PUBLIC SQ, WILKES BARRE, PA 18701-2610
(570) 208-4721
Mailing address
308 CEDAR MANOR DR, MOUNTAIN TOP, PA 18707-1541
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP451468
PA
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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