Provider Demographics
NPI:1487798617
Name:MINEO, FRANK CHARLES (RPH)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:CHARLES
Last Name:MINEO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 RUMSON RD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-3045
Mailing Address - Country:US
Mailing Address - Phone:716-691-6645
Mailing Address - Fax:
Practice Address - Street 1:654 COLVIN AVE
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:NY
Practice Address - Zip Code:14217-2825
Practice Address - Country:US
Practice Address - Phone:716-447-9080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025589183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist