IndividualActive
Alexus Petrick, PHARMD
NPI 1902561723 · Pharmacist · Wyoming, MI
Provider details
- NPI number
- 1902561723
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- 5302413434 (MI)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
4901 Wilson Ave Sw
Wyoming, MI 49418-8788
Phone: (616) 406-2678
Approximate (ZIP-level) locationGet directions
Mailing address
3932 Hillock St Apt 4
Wyoming, MI 49418-9480
Registry dates
- Enumerated
- 2021-11-05
- Last updated
- 2021-11-05
- Certified
- 2021-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.