Healthcare Provider Details
I. General information
NPI: 1407834294
Provider Name (Legal Business Name): FRANCKS PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/03/2006
Last Update Date: 03/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
202 SW 17TH ST
OCALA FL
34471-8138
US
IV. Provider business mailing address
202 SW 17TH ST
OCALA FL
34471-8138
US
V. Phone/Fax
- Phone: 352-622-4148
- Fax: 352-622-6809
- Phone: 352-622-4148
- Fax: 352-622-6809
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | PH14503 |
| License Number State | FL |
VIII. Authorized Official
Name: MR.
PAUL
W
FRANCK
Title or Position: CEO OWNER
Credential: RPH
Phone: 352-622-4148