Individual
AMY E PETTAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5224 DORR ST, TOLEDO, OH 43615-3602
(419) 531-2115
(419) 531-5946
Mailing address
5457 SAN PAULO DR, TOLEDO, OH 43612-3356
(419) 476-7914
(419) 531-5946
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-3-14435
OH
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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