Provider Demographics
NPI:1295331502
Name:GRABUSKI, FRANK LEONARD
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:LEONARD
Last Name:GRABUSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 QUINCY ST
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-3996
Mailing Address - Country:US
Mailing Address - Phone:610-945-6374
Mailing Address - Fax:
Practice Address - Street 1:2550 EISENHOWER AVE BLDG B
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19403-2331
Practice Address - Country:US
Practice Address - Phone:484-610-0160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP030051L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist