Provider Demographics
NPI:1245417559
Name:FRANKLIN, PHILIP (RPH)
Entity Type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 N MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-2824
Mailing Address - Country:US
Mailing Address - Phone:734-827-3000
Mailing Address - Fax:734-827-9455
Practice Address - Street 1:375 N MAPLE RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-2824
Practice Address - Country:US
Practice Address - Phone:734-827-3000
Practice Address - Fax:734-827-9455
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302022543183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist