Provider Demographics
NPI:1780147769
Name:CONSOLE, FRANCESCO VALENTINO (PHARMD)
Entity type:Individual
Prefix:DR
First Name:FRANCESCO
Middle Name:VALENTINO
Last Name:CONSOLE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:845 COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94133-2307
Mailing Address - Country:US
Mailing Address - Phone:541-292-4581
Mailing Address - Fax:
Practice Address - Street 1:2675 GEARY BLVD
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-3400
Practice Address - Country:US
Practice Address - Phone:415-796-5281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-08
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA78052183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist