Healthcare Provider Details

I. General information

NPI: 1568454239
Provider Name (Legal Business Name): FRANK E GOLDMAN RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MCCREADY MEMORIAL HOSPITAL 201 HALL HIGHWAY
CRISFIELD MD
21817
US

IV. Provider business mailing address

6968 AMBER FIELDS COVET
SALISBURY MD
21804
US

V. Phone/Fax

Practice location:
  • Phone: 410-968-3198
  • Fax: 410-968-3375
Mailing address:
  • Phone: 410-546-1814
  • Fax: 410-968-3375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number15369
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: