Petrillo, Steven Robert

Petrillo, Steven Robert is an sole proprietor health care provider with primary practice located at 200 Springs Rd , Bedford MA 01730-1114. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Petrillo, Steven Robert can be contacted via phone (781) 687-2180.

Contact Information

Primary practice address
200 Springs Rd Bedford MA 01730-1114
Phone: (781) 687-2180
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 3143 New Hampshire
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 23960 Massachusetts

Profile Details

NPI number 1134440407
LBN Legal business name Petrillo, Steven Robert
Credentials R.PH. REGISTERED PHA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2010
Last updated Jun 21st, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134440407 NPPES
Massachusetts MEDICAID 183500000X

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