MEDICARE: FRANK JOSEPH PIOTROWSKI 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	034886-1	NY
2	183500000X	Pharmacist	28R101632900	NJ
3	183500000X	Pharmacist	032642L	PA

General Provider Information

NPI Number	:	1801119946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK JOSEPH PIOTROWSKI RPH

Provider Business Mailing Address
First Line	:	173 PLEASANT MOUNT DR
Second Line	:
City	:	FOREST CITY
State	:	PA
Zip	:	18421-9403
Country	:	US
Telephone Number	:	570-785-9888
Fax Number	:	570-785-9888

Provider Business Practice Location Address
First Line	:	173 PLEASANT MOUNT DR
Second Line	:
City	:	FOREST CITY
State	:	PA
Zip	:	18421-9403
Country	:	US
Telephone Number	:	570-785-9888
Fax Number	:	570-785-9888

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

Provider Enumeration Date	:	03/03/2010
Last Update Date	:	03/03/2010

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