Individual
CAROLYN PETTYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
601 AMHERST ST, BUFFALO, NY 14207-2901
(716) 877-1477
(716) 877-2331
Mailing address
601 AMHERST ST, BUFFALO, NY 14207-2901
(716) 877-1477
(716) 877-2331
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
045359
NY
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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