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1902575947
MICHAEL CARROLL PETITT
FORT CAMPBELL, KY
NPI
1902575947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: TN 043550)
Enumeration Date
2021-09-13
Last Update Date
2024-12-10
Business Address
MICHAEL CARROLL PETITT RPH, Pharm.D.
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-412-9109
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Mailing Address
MICHAEL CARROLL PETITT RPH, Pharm.D.
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-412-9109
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