Franklin George Didado

Individual provider Active NPI Pharmacy Technician · Cortland, OH

NPI 1992406953 · NPPES record last updated Mar 15, 2023

Key facts

NPI
1992406953
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
09214632 (OH)
Practice address
569 S High St
Cortland, OH 44410-1506
Phone
(330) 638-8747
Fax
(330) 637-2560
NPI assigned
Mar 15, 2023
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
09214632OHMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of Ohio Inc Past
since Mar 19, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 09214632 OH Yes

Addresses

Primary practice location

569 S High St
Cortland, OH 44410-1506

Mailing address

569 S High St
Cortland, OH 44410-1506
Phone (330) 638-8747

Other providers in Cortland, OH

All providers in Cortland, OH · Pharmacy Technician in Ohio

Sources for this page

Verify at the official NPI Registry.