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NPI Code Detail

MEDICARE: DR. TROY D. KOOL PHARM.D.

MEDICARE: DR. TROY D. KOOL PHARM.D.
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
1183500000XPharmacistRPH 59703CA

General Provider Information

NPI Number : 1922266139
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TROY D. KOOL PHARM.D.
Provider Business Mailing Address
First Line : 5409 SUNRISE BLVD
Second Line :
City : CITRUS HEIGHTS
State : CA
Zip : 95610-7806
Country : US
Telephone Number : 916-961-2064
Fax Number :
Provider Business Practice Location Address
First Line : 5409 SUNRISE BLVD
Second Line :
City : CITRUS HEIGHTS
State : CA
Zip : 95610-7806
Country : US
Telephone Number : 916-961-2064
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2008
Last Update Date : 05/26/2008

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