Provider Demographics
NPI:1265429070
Name:ASTORINO, JOHN A (RPH)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:A
Last Name:ASTORINO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:651 FOREST LN
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:PA
Mailing Address - Zip Code:16323-1817
Mailing Address - Country:US
Mailing Address - Phone:814-432-3077
Mailing Address - Fax:
Practice Address - Street 1:1015 BUFFALO ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:PA
Practice Address - Zip Code:16323-1207
Practice Address - Country:US
Practice Address - Phone:814-432-2288
Practice Address - Fax:814-432-2088
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP026727L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist