Provider Demographics
NPI:1063474401
Name:QUATRARO, FRANK RALPH (RPH)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:RALPH
Last Name:QUATRARO
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 1:1995 CABERNET DR
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-0838
Mailing Address - Country:US
Mailing Address - Phone:559-582-1697
Mailing Address - Fax:559-582-8396
Practice Address - Street 1:715 W GRANGEVILLE BLVD
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-2713
Practice Address - Country:US
Practice Address - Phone:559-582-1697
Practice Address - Fax:559-582-8396
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23731183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist