MEDICARE: MR. CHARLES ERIC FRANKLIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	09239	MD

General Provider Information

NPI Number	:	1720036999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHARLES ERIC FRANKLIN

Provider Business Mailing Address
First Line	:	5718 MARGRAVE MEWS
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-2511
Country	:	US
Telephone Number	:	443-631-1091
Fax Number	:	410-997-8359

Provider Business Practice Location Address
First Line	:	8186 LARK BROWN RD
Second Line	:	SUITE 101
City	:	ELKRIDGE
State	:	MD
Zip	:	21075-6433
Country	:	US
Telephone Number	:	443-620-9990
Fax Number	:	443-620-9993

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	12/17/2007

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