Healthcare Provider Details
I. General information
NPI: 1104092907
Provider Name (Legal Business Name): FRANK ESPOSITO JR. RPH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/01/2008
Last Update Date: 01/13/2020
Certification Date: 01/13/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
160 RARITAN CENTER PKWY STE 18
EDISON NJ
08837-3637
US
IV. Provider business mailing address
160 RARITAN CENTER PKWY STE 18
EDISON NJ
08837-3637
US
V. Phone/Fax
- Phone: 800-383-8393
- Fax: 732-632-3260
- Phone: 800-383-8393
- Fax: 732-632-3260
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 049042 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: