Provider Demographics
NPI:1043695034
Name:TROCCIA, AUGUST JOHN II (PHARMD)
Entity Type:Individual
Prefix:
First Name:AUGUST
Middle Name:JOHN
Last Name:TROCCIA
Suffix:II
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 SCENIC VW
Mailing Address - Street 2:
Mailing Address - City:HORSEHEADS
Mailing Address - State:NY
Mailing Address - Zip Code:14845-1579
Mailing Address - Country:US
Mailing Address - Phone:607-857-1415
Mailing Address - Fax:
Practice Address - Street 1:930 COUNTY ROAD 64
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:NY
Practice Address - Zip Code:14903-9704
Practice Address - Country:US
Practice Address - Phone:607-796-5910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-20
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY060662183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist