Healthcare Provider Details
I. General information
NPI: 1619071677
Provider Name (Legal Business Name): FRANKLIN PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/12/2006
Last Update Date: 08/10/2023
Certification Date: 08/10/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
714 SHOPPERS LN
PARCHMENT MI
49004-1118
US
IV. Provider business mailing address
4171 S OCEANA DR
NEW ERA MI
49446-9781
US
V. Phone/Fax
- Phone: 269-349-7322
- Fax: 269-349-4819
- Phone: 231-861-6900
- Fax: 231-861-7177
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0004X |
| Taxonomy | Compounding Pharmacy |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | 5301006795 |
| License Number State | MI |
VIII. Authorized Official
Name:
REBEKAH
LYN
DESARMO
Title or Position: VP OF FINANCE
Credential: PHARM D., MBA
Phone: 231-861-6900