Provider Demographics
NPI:1902011844
Name:GRECO, FRANK G (RPH)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:G
Last Name:GRECO
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 1:39 PHYLLESE DR
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18067-2008
Mailing Address - Country:US
Mailing Address - Phone:610-502-0566
Mailing Address - Fax:
Practice Address - Street 1:1955 SULLIVAN TRAIL
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18040
Practice Address - Country:US
Practice Address - Phone:610-258-7439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01865700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist