Individual
MARK PETRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
49188 FRANCES DR, MACOMB, MI 48044-1638
(586) 556-1468
Mailing address
51450 SHELBY PKWY, SHELBY TWP, MI 48315-1786
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5302027576
MI
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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