Provider Demographics
NPI:1902248404
Name:TOROSIAN, MICHAEL A (PHARMD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:A
Last Name:TOROSIAN
Suffix:
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 1:2001 HAMILTON ST
Mailing Address - Street 2:APT 1903
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19130-4201
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1013 ASHLEY RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-7560
Practice Address - Country:US
Practice Address - Phone:610-291-0703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-24
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.300337183500000X
IN26027559A183500000X
VA0202216128183500000X
MD25105183500000X
FLPS57723183500000X
WI19165-40183500000X
OH03236808183500000X
IA23152183500000X
NJ28RI039014001835G0303X
DEA1-00051751835G0303X
PARP4432151835P1200X, 1835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric
No183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy