Doctor Name: | DR. FRANK G LAIACONA |
NPI Number: | 1316389976 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHARMD |
License Number: | 17610 |
Business Practice Address: | 914 Pine St Mount Shasta, CA - 960672143 |
Business Phone Number: | 5308592814 |
Business Fax Number: | 5309269306 |
Mailing Address: | Po Box 1512, MOUNT SHASTA |
State: | CA |
Postal Code: | 960671512 |
Phone Number: | 5308592814 |
Fax Number: | 5309269306 |
NPI Enumeration Date: | 07/24/2013 |
NPI Last Update Date: | 07/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835P0018X |
License Number: | 17610 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |