=====================================================
General NPI Number Information
=====================================================
NPI Number | 1619071677
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FRANKLIN PHARMACY INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/12/2006
-----------------------------------------------------
Last Update Date | 08/10/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 714 SHOPPERS LN
-----------------------------------------------------
City | PARCHMENT
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49004-1118
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 269-349-7322
-----------------------------------------------------
Fax | 269-349-4819
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4171 S OCEANA DR
-----------------------------------------------------
City | NEW ERA
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49446-9781
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 231-861-6900
-----------------------------------------------------
Fax | 231-861-7177
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VP OF FINANCE
-----------------------------------------------------
Name | REBEKAH LYN DESARMO
-----------------------------------------------------
Credential | PHARM D., MBA
-----------------------------------------------------
Telephone | 231-861-6900
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 3336C0004X
-----------------------------------------------------
Taxonomy Name | Compounding Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
Taxonomy Code | 3336L0003X
-----------------------------------------------------
Taxonomy Name | Long Term Care Pharmacy
-----------------------------------------------------
License Number | 5301006795
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------