Provider Demographics
NPI:1952540601
Name:WANG, FRANK M (RPH)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:M
Last Name:WANG
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 1:3036 EMRICK BLVD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-8018
Mailing Address - Country:US
Mailing Address - Phone:610-997-8460
Mailing Address - Fax:610-997-8462
Practice Address - Street 1:3036 EMRICK BLVD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-8018
Practice Address - Country:US
Practice Address - Phone:610-997-8460
Practice Address - Fax:610-997-8462
Is Sole Proprietor?:No
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP481845183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPP481845OtherPA PHARMACY LICENSE