MEDICARE: FRANK K CABLE

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	3336C0003X	Community/Retail Pharmacy	PHY37963	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0542678	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760488050
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANK K CABLE

Provider Business Mailing Address
First Line	:	5385 FRANKLIN BLVD
Second Line	:	SUITE I
City	:	SACRAMENTO
State	:	CA
Zip	:	95820-4717
Country	:	US
Telephone Number	:	916-452-0247
Fax Number	:	916-452-0214

Provider Business Practice Location Address
First Line	:	5385 FRANKLIN BLVD
Second Line	:	STE I
City	:	SACRAMENTO
State	:	CA
Zip	:	95820-4717
Country	:	US
Telephone Number	:	916-452-0247
Fax Number	:	916-452-0214

Authorized Official
Title or Position	:	PHARMACIST OWNER
Name	:	FRANK KENNETH CABLE
Credential	:	RPH
Telephone Number	:	916-452-0247

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	09/22/2011

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Directions to “FRANK K CABLE ” Practice Location

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