James Paul Petrochko in Mountain Top - Pharmacist
James Paul Petrochko - NPI 1205951936
James Paul Petrochko is a Pharmacist in Mountain Top, Pennsylvania. James Paul Petrochko practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for James Paul Petrochko is 1205951936. The last update date is 2007-07-08.
James Paul Petrochko's current location address is 308 Cedar Manor Dr, Mountain Top, Pennsylvania. You can contact this provider via phone number 5704740567. The mailing address for James Paul Petrochko is 308 Cedar Manor Dr, Mountain Top, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Paul Petrochko |
|---|---|
| Address | 308 Cedar Manor Dr, Mountain Top, Pennsylvania |
| Phone Number | 5704740567 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1205951936 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 308 Cedar Manor Dr |
|---|---|
| City | Mountain Top |
| State | Pennsylvania (PA) |
| Post Code | 187071541 |
| Phone Number | 5704740567 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | RP-033941-L |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| RP-033941-L | PA | PHARMACIST |
Post Comment/ Review Below
What is the James Paul Petrochko's 1205951936?
The James Paul Petrochko's NPI (National Provider Identifier) Number is 1205951936. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of James Paul Petrochko?
The James Paul Petrochko is situated at 308 Cedar Manor Dr, in the city of Mountain Top, state of PA, with the zip code 187071541.
What is the James Paul Petrochko's area of specialization and corresponding taxonomy classification?
The James Paul Petrochko's specialty field is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1205951936 to James Paul Petrochko?
The Centers for Medicare & Medicaid Services assigned the 1205951936 to James Paul Petrochko on 2007-03-20.
When was the information regarding James Paul Petrochko most recently updated?
The details pertaining to the James Paul Petrochko, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC