Individual
DR. KATIE MARIE PETRISIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
177 MIDDLETOWN RD, SUITE #2, FAIRMONT, WV 26554-8254
(304) 368-9355
(304) 368-5422
Mailing address
177 MIDDLETOWN RD, SUITE #2, FAIRMONT, WV 26554-8254
(304) 368-9355
(304) 368-5422
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0008090
WV
183500000X
Pharmacist
RP449389
PA
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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