Provider Demographics
NPI:1194965442
Name:FRANZ, THADDEUS TYLER (PHARMD)
Entity type:Individual
Prefix:DR
First Name:THADDEUS
Middle Name:TYLER
Last Name:FRANZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 662
Mailing Address - Street 2:
Mailing Address - City:CEDARVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45314
Mailing Address - Country:US
Mailing Address - Phone:937-766-2273
Mailing Address - Fax:937-697-5086
Practice Address - Street 1:63 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CEDARVILLE
Practice Address - State:OH
Practice Address - Zip Code:45314
Practice Address - Country:US
Practice Address - Phone:937-766-2273
Practice Address - Fax:937-697-5086
Is Sole Proprietor?:No
Enumeration Date:2009-02-26
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH033267451835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist