Healthcare Provider Details

I. General information

NPI: 1053351908
Provider Name (Legal Business Name): FRANKLIN MEDICAL PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 05/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17950 WOODWARD AVE
DETROIT MI
48203-2260
US

IV. Provider business mailing address

17950 WOODWARD AVE
DETROIT MI
48203-2260
US

V. Phone/Fax

Practice location:
  • Phone: 313-866-4660
  • Fax: 313-866-4662
Mailing address:
  • Phone: 313-866-4660
  • Fax: 313-866-4662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number5301009132
License Number StateMI

VIII. Authorized Official

Name: ALI FAKIH
Title or Position: OWNER
Credential:
Phone: 313-866-4660