MEDICARE: JOHN TROIANO 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	034978	NY

General Provider Information

NPI Number	:	1366045262
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN TROIANO RPH

Provider Business Mailing Address
First Line	:	160 KINGSLAND RD
Second Line	:
City	:	CLIFTON
State	:	NJ
Zip	:	07014-1915
Country	:	US
Telephone Number	:	973-779-7831
Fax Number	:	973-779-6697

Provider Business Practice Location Address
First Line	:	160 KINGSLAND RD
Second Line	:
City	:	CLIFTON
State	:	NJ
Zip	:	07014-1915
Country	:	US
Telephone Number	:	973-779-7831
Fax Number	:	973-779-6697

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

Provider Enumeration Date	:	11/21/2020
Last Update Date	:	11/21/2020

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