Individual
ANN MARIE PETROCHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
175 S WILKES BARRE BLVD, WILKES BARRE, PA 18702-5040
(570) 821-0808
(570) 823-6239
Mailing address
308 CEDAR MANOR DR, MOUNTAIN TOP, PA 18707-1541
(570) 474-0567
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP035722L
PA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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