Provider Demographics
NPI:1952408890
Name:RONALD JAMES FRANCK
Entity type:Organization
Organization Name:RONALD JAMES FRANCK
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:FRANCK
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:412-761-5625
Mailing Address - Street 1:550 CALIFORNIA AVE
Mailing Address - Street 2:
Mailing Address - City:AVALON
Mailing Address - State:PA
Mailing Address - Zip Code:15202-2453
Mailing Address - Country:US
Mailing Address - Phone:412-761-5625
Mailing Address - Fax:412-761-3376
Practice Address - Street 1:550 CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:AVALON
Practice Address - State:PA
Practice Address - Zip Code:15202-2453
Practice Address - Country:US
Practice Address - Phone:412-761-5625
Practice Address - Fax:412-761-3376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP412918L3336C0003X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007085170001Medicaid
3942287OtherOTHER ID NUMBER-COMMERCIAL NUMBER
PA0663710001Medicare NSC