Individual
NICHOLAS DOMINICK TROTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
518 WOODBURNE DR, UTICA, NY 13502-2230
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
064233
NY
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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