Petrilla, Richard A
Petrilla, Richard A is an sole proprietor health care provider with primary practice located at 790 N Garland Ave , Youngstown OH 44506-1078. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Petrilla, Richard A can be contacted via phone (330) 743-3544.Contact Information
Primary practice address
790 N Garland Ave
Youngstown OH 44506-1078
Phone: (330) 743-3544
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 03109313 | Ohio |
Profile Details
| NPI number | 1851472708 |
|---|---|
| LBN Legal business name | Petrilla, Richard A |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851472708 | NPPES |
| Ohio | Other | 03109310 | PHARMACIST LICENSE |
| Ohio | MEDICAID | 0679172 | PHARMACIST LICENSE |
| Ohio | Other | 3649184 | PHARMACIST LICENSE |
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