Provider Demographics
NPI:1275688541
Name:SIMMONS, FRANK W (BS PHARMACY, PHARM D)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:W
Last Name:SIMMONS
Suffix:
Gender:M
Credentials:BS PHARMACY, PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2171 STANGER AVE
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08094-3323
Mailing Address - Country:US
Mailing Address - Phone:609-617-6398
Mailing Address - Fax:
Practice Address - Street 1:1 MEDFORD LEAS STE 4
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055-2254
Practice Address - Country:US
Practice Address - Phone:609-654-3391
Practice Address - Fax:609-257-0827
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX269831835G0303X
NJ28RI018946001835G0303X, 1835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric