=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780789446
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FRANK P MCNEIL RPH
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/14/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 890 ROBINSON DR
-----------------------------------------------------
City | NORTH SALT LAKE
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84054-2933
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-936-6686
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8420 WILLOW CREEK DR
-----------------------------------------------------
City | SANDY
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84093-1103
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-936-6686
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 1371661701
-----------------------------------------------------
License Number State | UT
-----------------------------------------------------