Provider Demographics
NPI:1407834294
Name:FRANCKS PHARMACY, INC.
Entity Type:Organization
Organization Name:FRANCKS PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:W
Authorized Official - Last Name:FRANCK
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:352-622-4148
Mailing Address - Street 1:202 SW 17TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-8138
Mailing Address - Country:US
Mailing Address - Phone:352-622-4148
Mailing Address - Fax:352-622-6809
Practice Address - Street 1:202 SW 17TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-8138
Practice Address - Country:US
Practice Address - Phone:352-622-4148
Practice Address - Fax:352-622-6809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-03
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH14503333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL106085601Medicaid
FL106085601Medicaid