Provider Demographics
NPI:1548557333
Name:SANACORE, FRANK KEITH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:KEITH
Last Name:SANACORE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13055 HIGHWAY 9 N
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:GA
Mailing Address - Zip Code:30004-5137
Mailing Address - Country:US
Mailing Address - Phone:770-225-1781
Mailing Address - Fax:770-225-1791
Practice Address - Street 1:13055 HIGHWAY 9 N
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:GA
Practice Address - Zip Code:30004-5137
Practice Address - Country:US
Practice Address - Phone:770-225-1781
Practice Address - Fax:770-225-1791
Is Sole Proprietor?:No
Enumeration Date:2011-06-30
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA021164183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist