MEDICARE: MR. ANTHONY JOSEPH GRAZIANO 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	036075-1	NY

General Provider Information

NPI Number	:	1942281910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ANTHONY JOSEPH GRAZIANO R.PH.

Provider Business Mailing Address
First Line	:	PO BOX 612
Second Line	:
City	:	ALFRED
State	:	NY
Zip	:	14802-0612
Country	:	US
Telephone Number	:	607-587-9222
Fax Number	:	607-587-9629

Provider Business Practice Location Address
First Line	:	36 N MAIN ST
Second Line	:
City	:	ALFRED
State	:	NY
Zip	:	14802-1011
Country	:	US
Telephone Number	:	607-587-9222
Fax Number	:	607-587-9629

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

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	07/08/2007

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