Provider Demographics
NPI:1205150786
Name:URBANICK, FRANCINE JOAN (RPH)
Entity type:Individual
Prefix:MRS
First Name:FRANCINE
Middle Name:JOAN
Last Name:URBANICK
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MISS
Other - First Name:FRANCINE
Other - Middle Name:JOAN
Other - Last Name:DEZZUTTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:1305 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-3036
Mailing Address - Country:US
Mailing Address - Phone:814-333-9449
Mailing Address - Fax:814-337-8566
Practice Address - Street 1:1305 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-3036
Practice Address - Country:US
Practice Address - Phone:814-333-9449
Practice Address - Fax:814-337-8566
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-26
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP033527L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist