Provider Demographics
NPI:1831787142
Name:BARDANI, FRANK M JR (RPH)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:M
Last Name:BARDANI
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:221 E DELL RD
Mailing Address - Street 2:
Mailing Address - City:BATH
Mailing Address - State:PA
Mailing Address - Zip Code:18014-9576
Mailing Address - Country:US
Mailing Address - Phone:484-866-6199
Mailing Address - Fax:484-298-3729
Practice Address - Street 1:855 S BROADWAY
Practice Address - Street 2:
Practice Address - City:WIND GAP
Practice Address - State:PA
Practice Address - Zip Code:18091-1629
Practice Address - Country:US
Practice Address - Phone:610-863-5341
Practice Address - Fax:610-863-3808
Is Sole Proprietor?:No
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP437454183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP437454OtherPA BOARD OF PHARMACY