Provider Demographics
NPI:1760590038
Name:PAWLUS, FRANK EDWARD (RPH)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:EDWARD
Last Name:PAWLUS
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 1:9916 N 6800 W
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:UT
Mailing Address - Zip Code:84003-9262
Mailing Address - Country:US
Mailing Address - Phone:801-766-8698
Mailing Address - Fax:
Practice Address - Street 1:475 N STATE ST
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84057-3801
Practice Address - Country:US
Practice Address - Phone:801-226-2559
Practice Address - Fax:801-434-7532
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5270623-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist