Healthcare Provider Details

I. General information

NPI: 1497938047
Provider Name (Legal Business Name): PHILIP ANTHONY DEFRANCO JR. PHARM D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2007
Last Update Date: 09/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13858 ROUTE 31
ALBION NY
14411-9362
US

IV. Provider business mailing address

13858 ROUTE 31
ALBION NY
14411-9362
US

V. Phone/Fax

Practice location:
  • Phone: 585-589-0761
  • Fax: 585-589-0791
Mailing address:
  • Phone: 585-589-0761
  • Fax: 585-589-0791

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP440255
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberI050770
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: