MEDICARE: FRANKLIN FOUKOU PHARMD

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	76190	TX

General Provider Information

NPI Number	:	1982556007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANKLIN FOUKOU PHARMD

Provider Business Mailing Address
First Line	:	3916 BRYNLEE CIR
Second Line	:
City	:	TEXARKANA
State	:	AR
Zip	:	71854-2179
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4415 N STATE LINE AVE
Second Line	:
City	:	TEXARKANA
State	:	TX
Zip	:	75503-3138
Country	:	US
Telephone Number	:	903-792-8918
Fax Number	:

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

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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