Healthcare Provider Details
I. General information
NPI: 1154461796
Provider Name (Legal Business Name): FRANKLIN HUGGINS PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/06/2007
Last Update Date: 08/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
50 N MEDICAL DR PHARMACY SERVICES, ROOM A050
SALT LAKE CTY UT
84132-0001
US
IV. Provider business mailing address
50 N MEDICAL DR RM A050
SALT LAKE CITY UT
84132-0001
US
V. Phone/Fax
- Phone: 801-581-2147
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1835P1200X |
| Taxonomy | Pharmacotherapy Pharmacist |
| License Number | 4870285-1701 |
| License Number State | UT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: