Provider Demographics
NPI:1992406953
Name:DIDADO, FRANKLIN GEORGE
Entity type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:GEORGE
Last Name:DIDADO
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 1:569 S HIGH ST
Mailing Address - Street 2:
Mailing Address - City:CORTLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44410-1506
Mailing Address - Country:US
Mailing Address - Phone:330-638-8747
Mailing Address - Fax:330-637-2560
Practice Address - Street 1:569 S HIGH ST
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:OH
Practice Address - Zip Code:44410-1506
Practice Address - Country:US
Practice Address - Phone:330-638-8747
Practice Address - Fax:330-637-2560
Is Sole Proprietor?:No
Enumeration Date:2023-03-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH09214632183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician