Provider Demographics
NPI:1043239205
Name:FRANK'S CARE PHARMACY
Entity Type:Organization
Organization Name:FRANK'S CARE PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CACYCE
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:334-624-7979
Mailing Address - Street 1:1207 STATE ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:36744-2012
Mailing Address - Country:US
Mailing Address - Phone:334-624-7979
Mailing Address - Fax:334-624-7938
Practice Address - Street 1:1207 STATE ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:AL
Practice Address - Zip Code:36744-2012
Practice Address - Country:US
Practice Address - Phone:334-624-7979
Practice Address - Fax:334-624-7938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1310990001Medicare NSC