Individual
TARA PETRUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 CORNER KETCH RD, NEWARK, DE 19711-2901
(302) 235-5509
Mailing address
604 CORNER KETCH RD, NEWARK, DE 19711-2901
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
A1-0004627
DE
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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