Provider Demographics
NPI:1972854057
Name:STORNANTI, FRANK J SR (RPH)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:J
Last Name:STORNANTI
Suffix:SR
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 1:61 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-5713
Mailing Address - Country:US
Mailing Address - Phone:781-395-3233
Mailing Address - Fax:781-395-3949
Practice Address - Street 1:61 LOCUST ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-5713
Practice Address - Country:US
Practice Address - Phone:781-395-3233
Practice Address - Fax:781-395-3949
Is Sole Proprietor?:No
Enumeration Date:2012-09-28
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA16129183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist