Provider Demographics
NPI:1700299583
Name:WALMSLEY, FRANK T
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:T
Last Name:WALMSLEY
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 1:8705 E SPEEDWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-1829
Mailing Address - Country:US
Mailing Address - Phone:520-721-7631
Mailing Address - Fax:520-721-7631
Practice Address - Street 1:8705 E SPEEDWAY BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-1829
Practice Address - Country:US
Practice Address - Phone:520-721-7631
Practice Address - Fax:520-721-7631
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-09
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS012871183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist