Provider Demographics
NPI:1477602118
Name:FROLEK, DEAN ALAN (RPH)
Entity Type:Individual
Prefix:MR
First Name:DEAN
Middle Name:ALAN
Last Name:FROLEK
Suffix:
Gender:M
Credentials:RPH
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Other - Credentials:
Mailing Address - Street 1:1520 WHITNEY CT
Mailing Address - Street 2:CENTRACARE HEARTLAND PHARMACY
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-1867
Mailing Address - Country:US
Mailing Address - Phone:320-240-3160
Mailing Address - Fax:320-255-5876
Practice Address - Street 1:1520 WHITNEY CT
Practice Address - Street 2:CENTRACARE HEARTLAND PHARMACY
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-1867
Practice Address - Country:US
Practice Address - Phone:320-240-3160
Practice Address - Fax:320-255-5876
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN114649-7183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist