Individual
LEONARD JAMES PETRIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
1615 N HARRISON AVE, PIERRE, SD 57501-2377
(605) 224-1655
(605) 945-2298
Mailing address
1615 N HARRISON AVE, PIERRE, SD 57501-2377
(605) 224-1655
(605) 945-2298
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5112
SD
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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