Individual
ANTHONY PETRAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
63 LINCOLN BLVD, LINCOLN, CA 95648-9389
(916) 408-0230
Mailing address
6050 PLACER WEST DR APT 201, ROCKLIN, CA 95677-4605
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
90436
CA
Other
Enumeration date
11/09/2024
Last updated
11/09/2024
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