Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gavan Petracco

Individual provider Pharmacist · NPI 1336418904

Dr. Gavan Petracco is a Pharmacist in Seattle, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2011
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Practice location Address checks out

222 Pike St Walgreens Pharmacy
Seattle, WA 98101-2108
Phone: (724) 903-8392
Fax: (206) 903-8432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PH60039074 (WA)

Record details

NPI number1336418904
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 27, 2011
Last updated in NPPESDecember 27, 2011

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