Provider Demographics
NPI:1356491245
Name:DALESSANDRO, FRANK WILLIAM III (R PH)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:WILLIAM
Last Name:DALESSANDRO
Suffix:III
Gender:M
Credentials:R PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1926 TEABERRY AVE
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08094-3355
Mailing Address - Country:US
Mailing Address - Phone:856-863-1264
Mailing Address - Fax:
Practice Address - Street 1:1501 E CHELTENHAM AVE
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19124-1103
Practice Address - Country:US
Practice Address - Phone:215-535-4302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP033514L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist