Individual
MICHAEL CARROLL PETITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH, PHARM.D.
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 412-9109
(270) 412-4601
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 412-9109
(270) 412-4601
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
043550
TN
Other
Enumeration date
09/13/2021
Last updated
12/10/2024
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