Provider Demographics
NPI:1881715381
Name:CONWELL, FRANK CHRISTOPHER (RPH)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:CHRISTOPHER
Last Name:CONWELL
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 1:566 SPRINGWOOD DR N
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-1520
Mailing Address - Country:US
Mailing Address - Phone:251-343-7231
Mailing Address - Fax:
Practice Address - Street 1:10835 DAUPHIN ISLAND PKWY
Practice Address - Street 2:
Practice Address - City:THEODORE
Practice Address - State:AL
Practice Address - Zip Code:36582-7453
Practice Address - Country:US
Practice Address - Phone:251-973-0805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11853183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist