Provider Demographics
NPI:1619324167
Name:KOSTER, FRANK CARL (PHARMMD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:CARL
Last Name:KOSTER
Suffix:
Gender:M
Credentials:PHARMMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:885 E BELVIDERE RD
Mailing Address - Street 2:
Mailing Address - City:GRAYSLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60030-2581
Mailing Address - Country:US
Mailing Address - Phone:847-543-9106
Mailing Address - Fax:847-543-9124
Practice Address - Street 1:885 E BELVIDERE RD
Practice Address - Street 2:
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-2581
Practice Address - Country:US
Practice Address - Phone:847-543-9106
Practice Address - Fax:847-543-9124
Is Sole Proprietor?:No
Enumeration Date:2016-05-14
Last Update Date:2016-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051299072183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist