Individual
FRANKLIN PORTER CROWNOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
750 WASHINGTON ST, # 420, BOSTON, MA 02111-1526
(617) 636-4731
Mailing address
20 LAKE AVE, MELROSE, MA 02176-2702
(781) 665-2560
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
114618-3
MN
183500000X
Pharmacist
Primary
24436
MA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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