Provider Demographics
NPI:1528059623
Name:JORDANO, FRANK ANTHONY JR (RPH)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:ANTHONY
Last Name:JORDANO
Suffix:JR
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 1:2 KIMBERLY DR
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-5773
Mailing Address - Country:US
Mailing Address - Phone:203-929-3599
Mailing Address - Fax:
Practice Address - Street 1:7365 MAIN ST
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06614-1300
Practice Address - Country:US
Practice Address - Phone:203-378-1111
Practice Address - Fax:203-378-5809
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4870183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist