Provider Demographics
NPI:1619310968
Name:LADIEN, FRANKLIN JOSEPH (RPH)
Entity Type:Individual
Prefix:MR
First Name:FRANKLIN
Middle Name:JOSEPH
Last Name:LADIEN
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 1:2275A N MAYFAIR RD
Mailing Address - Street 2:
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53226-2207
Mailing Address - Country:US
Mailing Address - Phone:414-745-8334
Mailing Address - Fax:414-456-1709
Practice Address - Street 1:2275A N MAYFAIR RD
Practice Address - Street 2:
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226-2207
Practice Address - Country:US
Practice Address - Phone:414-745-8334
Practice Address - Fax:414-456-1709
Is Sole Proprietor?:No
Enumeration Date:2013-04-16
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WIR-9295183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist