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Individual

MICHAEL RICHARD PETRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
7400 SAN PEDRO DR NE APT 3011, ALBUQUERQUE, NM 87109-4698
(651) 587-2862

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0023664
CO

Other

Enumeration date
08/27/2021
Last updated
08/27/2021
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