Basic Information
| Provider Information | |||||||||
| NPI: | 1497949671 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FRANKLIN | ||||||||
| FirstName: | PETER | ||||||||
| MiddleName: | WILLIAM | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | RPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 42 CARTER RD | ||||||||
| Address2: | |||||||||
| City: | HASKELL | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 074201038 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9737684009 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 45 KULICK RD | ||||||||
| Address2: | AMERITA DBA NEXTRON | ||||||||
| City: | FAIRFIELD | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070043307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9735750614 | ||||||||
| FaxNumber: | 9735754580 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/30/2007 | ||||||||
| LastUpdateDate: | 03/21/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 28RI02677700 | NJ | Y | Pharmacy Service Providers | Pharmacist | 183500000X | PS42073 | FL | N | Pharmacy Service Providers | Pharmacist |
No ID Information.