Provider Demographics
NPI:1992817803
Name:JOHN D FRANKLIN III INC
Entity type:Organization
Organization Name:JOHN D FRANKLIN III INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-631-8330
Mailing Address - Street 1:1013 BROOK AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76301-5006
Mailing Address - Country:US
Mailing Address - Phone:940-723-7145
Mailing Address - Fax:940-322-7062
Practice Address - Street 1:1013 BROOK AVE
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76301-5006
Practice Address - Country:US
Practice Address - Phone:940-723-7145
Practice Address - Fax:940-322-7062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2017-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX135483336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4533798OtherNCPDP PROVIDER IDENTIFICATION NUMBER
TX141963Medicaid
0660430001Medicare NSC