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Individual

DAVID JOSEPH PETRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
5901 SHALLOWFORD RD, CHATTANOOGA, TN 37421-6210
(423) 855-8035
Mailing address
4748 SUSSEX LN, CHATTANOOGA, TN 37421-1137

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10750
TN

Other

Enumeration date
09/15/2012
Last updated
09/15/2012
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