Healthcare Provider Details

I. General information

NPI: 1881715381
Provider Name (Legal Business Name): FRANK CHRISTOPHER CONWELL RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10835 DAUPHIN ISLAND PKWY
THEODORE AL
36582-7453
US

IV. Provider business mailing address

566 SPRINGWOOD DR N
MOBILE AL
36608-1520
US

V. Phone/Fax

Practice location:
  • Phone: 251-973-0805
  • Fax:
Mailing address:
  • Phone: 251-343-7231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number11853
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: