Provider Demographics
NPI:1295082923
Name:FRANKLIN, ANN MCCLELLAN (DOCTOR OF PHARMACY)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:MCCLELLAN
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:DOCTOR OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1418 TERRACE RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:MS
Mailing Address - Zip Code:38732-3036
Mailing Address - Country:US
Mailing Address - Phone:662-822-0135
Mailing Address - Fax:
Practice Address - Street 1:301 N DAVIS AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:MS
Practice Address - Zip Code:38732-2349
Practice Address - Country:US
Practice Address - Phone:662-846-5781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-13
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-12547183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS1932114170OtherNPI