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

Paul Primo Petrucci, RPH

Individual provider Pharmacist · NPI 1568780047

Paul Primo Petrucci, RPH is a Pharmacist in Pontiac, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2010
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

1186 Baldwin Ave
Pontiac, MI 48340-2708
Phone: (248) 333-7057
Fax: (248) 333-8097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5302024441 (MI)

Record details

NPI number1568780047
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorYes
NPI enumeratedMay 10, 2010
Last updated in NPPESMay 10, 2010

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