Provider Demographics
NPI:1831531342
Name:FRANK, TIMOTHY STEVEN (PHARMD)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:STEVEN
Last Name:FRANK
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 1:4050 W AERIE DR UNIT 18
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741-2216
Mailing Address - Country:US
Mailing Address - Phone:515-201-2709
Mailing Address - Fax:
Practice Address - Street 1:3800 W INA RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-2240
Practice Address - Country:US
Practice Address - Phone:520-744-4708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-25
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS019879183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist