Provider Demographics
NPI:1891348868
Name:PERKINS, FRANK HENRY III (PHARMD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:HENRY
Last Name:PERKINS
Suffix:III
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 1:5026 W US 52
Mailing Address - Street 2:
Mailing Address - City:NEW PALESTINE
Mailing Address - State:IN
Mailing Address - Zip Code:46163-9770
Mailing Address - Country:US
Mailing Address - Phone:317-861-4838
Mailing Address - Fax:317-861-0496
Practice Address - Street 1:5026 W US 52
Practice Address - Street 2:
Practice Address - City:NEW PALESTINE
Practice Address - State:IN
Practice Address - Zip Code:46163-9770
Practice Address - Country:US
Practice Address - Phone:317-861-4838
Practice Address - Fax:317-861-0496
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-18
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26024838A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty