Provider Demographics
NPI:1750040200
Name:FRANKSON, OLIVIA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:OLIVIA
Middle Name:
Last Name:FRANKSON
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4771 MIRAGE BAY CIR UNIT 306
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33966-6644
Mailing Address - Country:US
Mailing Address - Phone:386-457-0247
Mailing Address - Fax:
Practice Address - Street 1:2310 TAMIAMI TRL UNIT 1129
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-5933
Practice Address - Country:US
Practice Address - Phone:941-575-6369
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-13
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS63611183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist