Healthcare Provider Details

I. General information

NPI: 1760658827
Provider Name (Legal Business Name): FRANKLIN F. DICKEY RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2008
Last Update Date: 05/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

462 GRIDER ST
BUFFALO NY
14215-3021
US

IV. Provider business mailing address

5405 COLUMBIA AVE
HAMBURG NY
14075-5743
US

V. Phone/Fax

Practice location:
  • Phone: 716-332-2866
  • Fax: 716-332-2880
Mailing address:
  • Phone: 716-627-5527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number24800
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: