MEDICARE: JERRICAH FRANZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	18598	OK

General Provider Information

NPI Number	:	1467122283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JERRICAH FRANZ

Provider Business Mailing Address
First Line	:	16004 SONADOR DR
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73013-5822
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3810 N TULSA AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-2935
Country	:	US
Telephone Number	:	405-805-6191
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2021
Last Update Date	:	09/14/2021

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Directions to “ JERRICAH FRANZ ” Practice Location

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