Provider Demographics
NPI:1477836674
Name:MAZANET, FRANCIS J (RPH)
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:J
Last Name:MAZANET
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 TARA CT
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-2081
Mailing Address - Country:US
Mailing Address - Phone:302-838-0135
Mailing Address - Fax:
Practice Address - Street 1:396 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-1482
Practice Address - Country:US
Practice Address - Phone:302-378-1891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0002314183500000X
PARP037046L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist