Provider Demographics
NPI:1720036999
Name:FRANKLIN, CHARLES ERIC
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:ERIC
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:CHARLES
Other - Middle Name:E
Other - Last Name:FRANKLIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:5718 MARGRAVE MEWS
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2511
Mailing Address - Country:US
Mailing Address - Phone:443-631-1091
Mailing Address - Fax:410-997-8359
Practice Address - Street 1:8186 LARK BROWN RD
Practice Address - Street 2:SUITE 101
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-6433
Practice Address - Country:US
Practice Address - Phone:443-620-9990
Practice Address - Fax:443-620-9993
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD09239183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist