Healthcare Provider Details

I. General information

NPI: 1306055769
Provider Name (Legal Business Name): FRANKLIN C POWELL II RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

864 OAKWOOD RD
CHARLESTON WV
25314-2010
US

IV. Provider business mailing address

PO BOX 2012
CHARLESTON WV
25327-2012
US

V. Phone/Fax

Practice location:
  • Phone: 304-343-2807
  • Fax:
Mailing address:
  • Phone: 304-343-2807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberWV5128
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: