Healthcare Provider Details

I. General information

NPI: 1285770180
Provider Name (Legal Business Name): JOHN FRANKLIN CARY RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 N CENTRE ST
DE KALB TX
75559-1404
US

IV. Provider business mailing address

9402 DANUBE AVE
TEXARKANA TX
75503-9505
US

V. Phone/Fax

Practice location:
  • Phone: 903-667-2582
  • Fax:
Mailing address:
  • Phone: 903-223-7337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number17601
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: