Petralia, Dominic Anthony

Petralia, Dominic Anthony is an individual health care provider with primary practice located at 12006 Manchester Rd , Des Peres MO 63131-4415. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Petralia, Dominic Anthony can be contacted via phone (314) 965-0030.

Contact Information

Primary practice address
12006 Manchester Rd Des Peres MO 63131-4415
Phone: (314) 965-0030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 2022035200 Missouri

Profile Details

NPI number 1073233607
LBN Legal business name Petralia, Dominic Anthony
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2022
Last updated Sep 1st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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