Healthcare Provider Details

I. General information

NPI: 1760893309
Provider Name (Legal Business Name): SOUTH FRANKLIN ENTERPRISES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2014
Last Update Date: 11/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 S FRANKLIN ST
HEMPSTEAD NY
11550-6115
US

IV. Provider business mailing address

224 S FRANKLIN ST
HEMPSTEAD NY
11550-6115
US

V. Phone/Fax

Practice location:
  • Phone: 516-292-2155
  • Fax: 516-292-2188
Mailing address:
  • Phone: 516-292-2155
  • Fax: 516-292-2188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number032601
License Number StateNY

VIII. Authorized Official

Name: MR. MEDIAN R HAMMUD
Title or Position: PRESIDENT
Credential:
Phone: 917-548-0663