Individual
MRS. ALYCE MARIE PETRUTIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
133 15TH ST, PACIFIC GROVE, CA 93950-2746
(831) 373-1225
Mailing address
410 19TH ST, PACIFIC GROVE, CA 93950-4102
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40190
CA
183500000X
Pharmacist
9309
NV
Other
Enumeration date
09/23/2009
Last updated
02/04/2015
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