Healthcare Provider Details

I. General information

NPI: 1285876417
Provider Name (Legal Business Name): JOHN TALBOT FRANK PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2009
Last Update Date: 04/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 GREENLEY RD
SONORA CA
95370-5200
US

IV. Provider business mailing address

16455 CRESTRIDGE AVE
SONORA CA
95370-8141
US

V. Phone/Fax

Practice location:
  • Phone: 209-536-3690
  • Fax: 209-536-3510
Mailing address:
  • Phone: 209-533-1245
  • Fax: 201-661-6568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH 27382
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: