Provider Demographics
NPI:1992214696
Name:FRANKLIN, JOHN DAVIDSON III (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:DAVIDSON
Last Name:FRANKLIN
Suffix:III
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 1:4812 BRIDGE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76308-4422
Mailing Address - Country:US
Mailing Address - Phone:940-631-8330
Mailing Address - Fax:
Practice Address - Street 1:4812 BRIDGE CREEK DR
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76308-4422
Practice Address - Country:US
Practice Address - Phone:940-631-8330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-25
Last Update Date:2017-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17894183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist