Healthcare Provider Details

I. General information

NPI: 1447502067
Provider Name (Legal Business Name): FRANK DELGADO PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2012
Last Update Date: 10/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WALGREENS 2706 AVE. MARUCA
PONCE PR
00728
US

IV. Provider business mailing address

PO BOX 2682
SAN GERMAN PR
00683-2682
US

V. Phone/Fax

Practice location:
  • Phone: 787-812-5978
  • Fax:
Mailing address:
  • Phone: 787-342-9029
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number5554
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: