Provider Demographics
NPI:1194083576
Name:FRANKONIS, RICHARD JOHN SR (RPH)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:JOHN
Last Name:FRANKONIS
Suffix:SR
Gender:M
Credentials:RPH
Other - Prefix:MR
Other - First Name:RICHARD
Other - Middle Name:
Other - Last Name:FRANKONIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:49 THE OLD RD
Mailing Address - Street 2:P O BOX 222
Mailing Address - City:NEWTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06470-1551
Mailing Address - Country:US
Mailing Address - Phone:203-426-3886
Mailing Address - Fax:203-426-3886
Practice Address - Street 1:34 CHURCH HILL RD
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:CT
Practice Address - Zip Code:06470-1625
Practice Address - Country:US
Practice Address - Phone:203-426-9592
Practice Address - Fax:203-426-3886
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-24
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0004281183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist