Provider Demographics
NPI:1881623700
Name:FRANCKS LAB INC
Entity type:Organization
Organization Name:FRANCKS LAB INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:FRANCK
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:352-622-4148
Mailing Address - Street 1:202 SW 17TH ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-8138
Mailing Address - Country:US
Mailing Address - Phone:352-622-4148
Mailing Address - Fax:352-622-3318
Practice Address - Street 1:202 SW 17TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-5138
Practice Address - Country:US
Practice Address - Phone:352-622-4148
Practice Address - Fax:352-622-3318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH22026332BP3500X, 3336S0011X, 3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL032068401Medicaid
FL032068400Medicaid
FL5236600001Medicare NSC