Provider Demographics
NPI:1568875524
Name:SMALL, FRANKLIN JR (PHARMD)
Entity Type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:
Last Name:SMALL
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 MORGAN DR
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-1247
Mailing Address - Country:US
Mailing Address - Phone:978-618-7911
Mailing Address - Fax:
Practice Address - Street 1:32 MORGAN DR
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-1247
Practice Address - Country:US
Practice Address - Phone:978-618-7911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-08
Last Update Date:2014-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH22895183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist