Provider Demographics
NPI:1588761704
Name:FRANCIS, DONALD FRED (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:FRED
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 EAST BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37821
Mailing Address - Country:US
Mailing Address - Phone:423-623-3088
Mailing Address - Fax:423-623-0777
Practice Address - Street 1:602 EAST BROADWAY
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:TN
Practice Address - Zip Code:37821-3298
Practice Address - Country:US
Practice Address - Phone:423-623-3088
Practice Address - Fax:423-623-0777
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3817183500000X
FL14750183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist