Provider Demographics
NPI:1871675280
Name:PANTINA, FRANK PAUL JR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:PAUL
Last Name:PANTINA
Suffix:JR
Gender:M
Credentials:PHARMD
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Mailing Address - Street 1:220 N RUTHERFORD AVE
Mailing Address - Street 2:
Mailing Address - City:N MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-2135
Mailing Address - Country:US
Mailing Address - Phone:516-293-9285
Mailing Address - Fax:718-762-7140
Practice Address - Street 1:5737 MAIN ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-5332
Practice Address - Country:US
Practice Address - Phone:718-358-1300
Practice Address - Fax:718-762-7140
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY051157183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist