MEDICARE: TROY ALAN GAHM R.PH.

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	03-2-19421	OH

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	:	1851383608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TROY ALAN GAHM R.PH.

Provider Business Mailing Address
First Line	:	50A CENTER ST
Second Line	:
City	:	LUCASVILLE
State	:	OH
Zip	:	45648-7826
Country	:	US
Telephone Number	:	740-259-2442
Fax Number	:

Provider Business Practice Location Address
First Line	:	50A CENTER ST
Second Line	:
City	:	LUCASVILLE
State	:	OH
Zip	:	45648-7826
Country	:	US
Telephone Number	:	740-259-2442
Fax Number	:

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

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	09/08/2007

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