Provider Demographics
NPI:1164983946
Name:FRANKLIN PARK PHARMACY LLC
Entity Type:Organization
Organization Name:FRANKLIN PARK PHARMACY LLC
Other - Org Name:FRANKLIN PARK PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:HUSSEIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAIDAR
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:419-394-9110
Mailing Address - Street 1:4020 SECOR RD UNIT A
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-4273
Mailing Address - Country:US
Mailing Address - Phone:567-315-8780
Mailing Address - Fax:567-315-8798
Practice Address - Street 1:4020 SECOR RD UNIT A
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-4273
Practice Address - Country:US
Practice Address - Phone:567-315-8780
Practice Address - Fax:567-315-8798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-26
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy