Provider Demographics
NPI:1437471935
Name:DIMARIA, FRANCIS J JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:J
Last Name:DIMARIA
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6180 MICHAELJON WAY
Mailing Address - Street 2:
Mailing Address - City:CICERO
Mailing Address - State:NY
Mailing Address - Zip Code:13039-9389
Mailing Address - Country:US
Mailing Address - Phone:315-698-0105
Mailing Address - Fax:315-698-0403
Practice Address - Street 1:8064 BREWERTON RD
Practice Address - Street 2:
Practice Address - City:CICERO
Practice Address - State:NY
Practice Address - Zip Code:13039-9584
Practice Address - Country:US
Practice Address - Phone:315-698-0105
Practice Address - Fax:315-698-0403
Is Sole Proprietor?:No
Enumeration Date:2010-02-24
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044454183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist