Provider Demographics
NPI:1902619067
Name:TIRINO, FRANK JOHN
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:JOHN
Last Name:TIRINO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 MAPLE DR
Mailing Address - Street 2:
Mailing Address - City:HARWINTON
Mailing Address - State:CT
Mailing Address - Zip Code:06791-1615
Mailing Address - Country:US
Mailing Address - Phone:860-620-3154
Mailing Address - Fax:
Practice Address - Street 1:25 COLLINS RD STE 4
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:CT
Practice Address - Zip Code:06010-3868
Practice Address - Country:US
Practice Address - Phone:860-589-5587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0016725183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist