MEDICARE: JOSEPH A PERAINO RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	28RI02113800	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740433473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH A PERAINO RPH

Provider Business Mailing Address
First Line	:	429 AURORA DR
Second Line	:
City	:	EGG HARBOR TOWNSHIP
State	:	NJ
Zip	:	08234-7576
Country	:	US
Telephone Number	:	609-926-7502
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 COURT HOUSE SOUTH DENNIS RD
Second Line	:
City	:	CAPE MAY COURT HOUSE
State	:	NJ
Zip	:	08210-1931
Country	:	US
Telephone Number	:	609-465-4415
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2008
Last Update Date	:	10/26/2008

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