Provider Demographics
NPI:1104962950
Name:FRANCK, MARLA JEAN (RPH)
Entity type:Individual
Prefix:
First Name:MARLA
Middle Name:JEAN
Last Name:FRANCK
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1314 4TH AVE N
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:IA
Mailing Address - Zip Code:51442-1413
Mailing Address - Country:US
Mailing Address - Phone:712-263-5111
Mailing Address - Fax:
Practice Address - Street 1:2020 1ST AVE S
Practice Address - Street 2:CRAWFORD COUNTY MEMORIAL HOSPITAL
Practice Address - City:DENISON
Practice Address - State:IA
Practice Address - Zip Code:51442-2210
Practice Address - Country:US
Practice Address - Phone:712-263-1610
Practice Address - Fax:712-263-1725
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA14249183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist