Provider Demographics
NPI:1497949671
Name:FRANKLIN, PETER WILLIAM (RPH)
Entity Type:Individual
Prefix:MR
First Name:PETER
Middle Name:WILLIAM
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 1:42 CARTER RD
Mailing Address - Street 2:
Mailing Address - City:HASKELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07420-1038
Mailing Address - Country:US
Mailing Address - Phone:973-768-4009
Mailing Address - Fax:
Practice Address - Street 1:45 KULICK RD
Practice Address - Street 2:AMERITA DBA NEXTRON
Practice Address - City:FAIRFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07004-3307
Practice Address - Country:US
Practice Address - Phone:973-575-0614
Practice Address - Fax:973-575-4580
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02677700183500000X
FLPS42073183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist