Provider Demographics
NPI:1114197977
Name:LAFRANO, MADELEINE FRANCES (PHARMACIST)
Entity Type:Individual
Prefix:MS
First Name:MADELEINE
Middle Name:FRANCES
Last Name:LAFRANO
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 INDEPENDENCE PLZ
Mailing Address - Street 2:KING KULLEN PHARMACY #38
Mailing Address - City:SELDEN
Mailing Address - State:NY
Mailing Address - Zip Code:11784-2400
Mailing Address - Country:US
Mailing Address - Phone:631-698-8074
Mailing Address - Fax:631-698-8523
Practice Address - Street 1:307 INDEPENDENCE PLZ
Practice Address - Street 2:KING KULLEN PHARMACY #38
Practice Address - City:SELDEN
Practice Address - State:NY
Practice Address - Zip Code:11784-2400
Practice Address - Country:US
Practice Address - Phone:631-698-8074
Practice Address - Fax:631-698-8523
Is Sole Proprietor?:No
Enumeration Date:2008-03-08
Last Update Date:2008-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039979183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01417427Medicaid