Provider Demographics
NPI:1437337995
Name:MAYOSKY, FRANK (RPH)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:
Last Name:MAYOSKY
Suffix:
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 1:1500 BROOKS AVE
Mailing Address - Street 2:ATTN: PHARMACY OFFICE
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-3512
Mailing Address - Country:US
Mailing Address - Phone:585-239-2020
Mailing Address - Fax:585-239-2015
Practice Address - Street 1:3325 W GENESEE ST
Practice Address - Street 2:ATTN: PHARMACY MANAGER
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13219-1303
Practice Address - Country:US
Practice Address - Phone:315-487-1400
Practice Address - Fax:315-487-1585
Is Sole Proprietor?:No
Enumeration Date:2008-02-07
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037864-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY037864-1OtherPHARMACIST LICENSE