MEDICARE: MR. FRANK M RILEY RPH.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	33523	NY

General Provider Information

NPI Number	:	1467547810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. FRANK M RILEY RPH.

Provider Business Mailing Address
First Line	:	42 TERRACE AVE.
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12203
Country	:	US
Telephone Number	:	518-463-2291
Fax Number	:	518-463-1537

Provider Business Practice Location Address
First Line	:	100 BROADWAY
Second Line	:
City	:	MENANDS
State	:	NY
Zip	:	12204
Country	:	US
Telephone Number	:	518-463-2291
Fax Number	:	518-463-1537

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	07/08/2007

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Directions to “ MR. FRANK M RILEY RPH.” Practice Location

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