Matthew Petticrew

NPI 1851714232 · on the registry since 2014

Practice

Address: 7575 W Lower Buckeye Rd
Phoenix, AZ 85043
Phone: (623) 907-0712
Organisation at this address: Walmart
Walmart Inc.
Walmart Stores, Inc.
Chris Simopoulos Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-01-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona