Provider Demographics
NPI:1801105671
Name:CALABRO, FRANK P (RPH)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:P
Last Name:CALABRO
Suffix:
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 1:1400 TIFFANY LN SE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-0976
Mailing Address - Country:US
Mailing Address - Phone:505-401-8098
Mailing Address - Fax:
Practice Address - Street 1:1640 RIO RANCHO DR SE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-1092
Practice Address - Country:US
Practice Address - Phone:505-892-6440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-28
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM4425183500000X
TX19483183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist