Provider Demographics
NPI:1952678104
Name:FRENZILLI, BERNADETTE THERESA (RPH)
Entity Type:Individual
Prefix:
First Name:BERNADETTE
Middle Name:THERESA
Last Name:FRENZILLI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1209 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:RI
Mailing Address - Zip Code:02898
Mailing Address - Country:US
Mailing Address - Phone:401-539-7598
Mailing Address - Fax:401-539-2048
Practice Address - Street 1:1209 MAIN STREET
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:RI
Practice Address - Zip Code:02898
Practice Address - Country:US
Practice Address - Phone:401-539-7598
Practice Address - Fax:401-539-2048
Is Sole Proprietor?:No
Enumeration Date:2011-11-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRPH03654183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist