Provider Demographics
NPI:1952897662
Name:MACIAS, FRANK PATRICK (PHARMD)
Entity Type:Individual
Prefix:PROF
First Name:FRANK
Middle Name:PATRICK
Last Name:MACIAS
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 1:5308 GRAND CYPRESS CIR APT 103
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-5939
Mailing Address - Country:US
Mailing Address - Phone:239-298-9513
Mailing Address - Fax:
Practice Address - Street 1:12900 TRADE WAY FOUR
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-6983
Practice Address - Country:US
Practice Address - Phone:239-992-7508
Practice Address - Fax:239-992-9670
Is Sole Proprietor?:No
Enumeration Date:2018-07-05
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS57529183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL561498OtherNABP