Individual
ALEXUS MARIE PETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4901 WILSON AVE SW, WYOMING, MI 49418-8788
(616) 406-2678
Mailing address
3932 HILLOCK ST APT 4, WYOMING, MI 49418-9480
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302413434
MI
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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