Individual
DR. GRETCHEN MARY PETRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD., CGP
Contact information
Practice address
1255 KASAMADA DR, FORT MYERS, FL 33919-1622
(239) 410-9016
Mailing address
1255 KASAMADA DR, FORT MYERS, FL 33919-1622
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
PS 45588
FL
Other
Enumeration date
04/26/2015
Last updated
04/26/2015
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