Provider Demographics
NPI:1821329947
Name:BADAGNANI, FRANK R (RPH)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:R
Last Name:BADAGNANI
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 1:360 W 1ST ST S
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:NY
Mailing Address - Zip Code:13069-2441
Mailing Address - Country:US
Mailing Address - Phone:315-593-8378
Mailing Address - Fax:315-593-2321
Practice Address - Street 1:360 W 1ST ST S
Practice Address - Street 2:
Practice Address - City:FULTON
Practice Address - State:NY
Practice Address - Zip Code:13069-2441
Practice Address - Country:US
Practice Address - Phone:315-593-8378
Practice Address - Fax:315-593-2321
Is Sole Proprietor?:No
Enumeration Date:2010-01-29
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032934183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist