Provider Demographics
NPI:1144533852
Name:FRABLE, MARY BETH (RPH)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:BETH
Last Name:FRABLE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:215 SOUTH BROAD ST.
Mailing Address - Street 2:RITEAID PHARMACY STORE 1365
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5325
Mailing Address - Country:US
Mailing Address - Phone:215-735-3593
Mailing Address - Fax:215-790-0146
Practice Address - Street 1:215 SOUTH BROAD ST.
Practice Address - Street 2:RITEAID PHARMACY STORE 1365
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-5325
Practice Address - Country:US
Practice Address - Phone:215-735-3593
Practice Address - Fax:215-790-0146
Is Sole Proprietor?:No
Enumeration Date:2010-07-22
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP028072L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist