Provider Demographics
NPI:1922308345
Name:TARANTINO, FRANK PETER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:PETER
Last Name:TARANTINO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:FRANK
Other - Middle Name:PETER
Other - Last Name:TARANTINO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:485 PINEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94903-1331
Mailing Address - Country:US
Mailing Address - Phone:415-233-2885
Mailing Address - Fax:
Practice Address - Street 1:485 PINEWOOD DR
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-1331
Practice Address - Country:US
Practice Address - Phone:415-233-2885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-02
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27678183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist