Provider Demographics
NPI:1902100530
Name:FRANKLIN PHARMACY LLC
Entity Type:Organization
Organization Name:FRANKLIN PHARMACY LLC
Other - Org Name:FRANKLIN PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:AARON
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:888-482-3972
Mailing Address - Street 1:361 MUSTANG DR
Mailing Address - Street 2:
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35654-8081
Mailing Address - Country:US
Mailing Address - Phone:256-718-1776
Mailing Address - Fax:888-482-1132
Practice Address - Street 1:361 MUSTANG DR
Practice Address - Street 2:
Practice Address - City:RUSSELLVILLE
Practice Address - State:AL
Practice Address - Zip Code:35654-8081
Practice Address - Country:US
Practice Address - Phone:256-718-1776
Practice Address - Fax:888-482-1132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-21
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1135013336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL126928Medicaid
0136956OtherNCPDP PROVIDER IDENTIFICATION NUMBER