Provider Demographics
NPI:1053915595
Name:AGOSTINI, FRANCESCA MARIE (RPH)
Entity type:Individual
Prefix:
First Name:FRANCESCA
Middle Name:MARIE
Last Name:AGOSTINI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 HOUSTON LN
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27527-5785
Mailing Address - Country:US
Mailing Address - Phone:570-706-5197
Mailing Address - Fax:
Practice Address - Street 1:1706 N SANDHILLS BLVD
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:NC
Practice Address - Zip Code:28315-2338
Practice Address - Country:US
Practice Address - Phone:910-944-1502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC29908183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist