Provider Demographics
NPI:1093041634
Name:FROSAKER, BRYNA N (PHARM D)
Entity Type:Individual
Prefix:
First Name:BRYNA
Middle Name:N
Last Name:FROSAKER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:841 MERRIMON AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-2404
Mailing Address - Country:US
Mailing Address - Phone:828-225-5113
Mailing Address - Fax:828-225-5103
Practice Address - Street 1:841 MERRIMON AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-2404
Practice Address - Country:US
Practice Address - Phone:828-225-5113
Practice Address - Fax:828-225-5103
Is Sole Proprietor?:No
Enumeration Date:2009-11-01
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20530183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist