Provider Demographics
NPI:1588319107
Name:VOLTOLINA, ALBERT FRANK JR (RPH)
Entity type:Individual
Prefix:
First Name:ALBERT
Middle Name:FRANK
Last Name:VOLTOLINA
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 1:2219 N BELT HWY
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-2205
Mailing Address - Country:US
Mailing Address - Phone:816-596-8041
Mailing Address - Fax:816-596-8044
Practice Address - Street 1:2219 N BELT HWY
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-2205
Practice Address - Country:US
Practice Address - Phone:816-596-8041
Practice Address - Fax:816-596-8044
Is Sole Proprietor?:No
Enumeration Date:2022-02-14
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA01483183500000X
MO2006002756183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist