Provider Demographics
NPI:1831622372
Name:CHILELLI, FRANK JOSEPH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:JOSEPH
Last Name:CHILELLI
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 1:66 BITONTI CRES.
Mailing Address - Street 2:
Mailing Address - City:SAULT STE. MARIE
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:P6C6A9
Mailing Address - Country:CA
Mailing Address - Phone:705-943-8786
Mailing Address - Fax:
Practice Address - Street 1:415 ASHMUN ST
Practice Address - Street 2:
Practice Address - City:SAULT SAINTE MARIE
Practice Address - State:MI
Practice Address - Zip Code:49783-1905
Practice Address - Country:US
Practice Address - Phone:906-632-9661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-11
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302040727183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist