John Anthony Petracci in Youngstown - Pharmacist
John Anthony Petracci - NPI 1013906361
John Anthony Petracci is a Pharmacist in Youngstown, Ohio. John Anthony Petracci practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for John Anthony Petracci is 1013906361. The last update date is 2007-07-08.
John Anthony Petracci's current location address is 602 Parmalee Ave, Youngstown, Ohio. You can contact this provider via phone number 3307462657 and fax number 3307460014. The mailing address for John Anthony Petracci is 602 Parmalee Ave, Youngstown, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Anthony Petracci |
|---|---|
| Address | 602 Parmalee Ave, Youngstown, Ohio |
| Phone Number | 3307462657 |
| Fax Number | 3307460014 |
| Sole Proprietor | X |
| Credentials | R.PH |
NPI Number Detail
| NPI Number | 1013906361 |
|---|---|
| Provider Enumeration Date | 2005-10-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 602 Parmalee Ave |
|---|---|
| City | Youngstown |
| State | Ohio (OH) |
| Post Code | 445101653 |
| Phone Number | 3307462657 |
| Fax Number | 3307460014 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 3316874 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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What is the unique identification code assigned to John Anthony Petracci by the Centers for Medicare & Medicaid Services?
The John Anthony Petracci has been issued the NPI (National Provider Identifier) 1013906361. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of John Anthony Petracci?
The John Anthony Petracci is physically situated at 602 Parmalee Ave, in the city of Youngstown, state of OH, with the postal code 445101653.
What is John Anthony Petracci's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John Anthony Petracci is Pharmacist, and the taxonomy code that classifies this field of practice is 183500000X.
On what date did the John Anthony Petracci receive the assignment of its 1013906361 from the Centers for Medicare & Medicaid Services?
The John Anthony Petracci was issued its 1013906361 by the Centers for Medicare & Medicaid Services on 2005-10-19.
As of what date were the John Anthony Petracci's details last updated?
The information pertaining to the John Anthony Petracci, including its address, specialty, and other details, was most recently updated on 2007-07-08.