Provider Demographics
NPI:1912139973
Name:GESEK, FRANK ALAN (PHD, RPH)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:ALAN
Last Name:GESEK
Suffix:
Gender:M
Credentials:PHD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 MERRILL INDUSTRIAL DR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03842-1970
Mailing Address - Country:US
Mailing Address - Phone:603-929-5078
Mailing Address - Fax:603-926-3942
Practice Address - Street 1:6 MERRILL INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03842-1970
Practice Address - Country:US
Practice Address - Phone:603-929-5078
Practice Address - Fax:603-926-3942
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-10
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18909183500000X
NHR1703183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist