NPI 1063925865

Trisha Renee Petticrew, PHARMD

Practitioner Pharmacist Novato, CA

Practice location

Address: 910 Diablo Ave, Novato, CA 94947-7311
Phone: (415) 898-1905
Mailing address: 55 Maria Dr APT 538, Petaluma, CA 94954-3595

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 77807 (CA)

Other Pharmacist providers in California →

Registry record

NPI: 1063925865
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Nov 2017
Record last updated: 15 Nov 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.