Provider Demographics
NPI:1942059902
Name:FRANNYS PINK RIBBON GIRLS BOUTIQUE
Entity type:Organization
Organization Name:FRANNYS PINK RIBBON GIRLS BOUTIQUE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KNOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-245-2018
Mailing Address - Street 1:9805 SANDY ROCK PL STE H
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-7731
Mailing Address - Country:US
Mailing Address - Phone:980-245-2018
Mailing Address - Fax:980-245-2036
Practice Address - Street 1:9805 SANDY ROCK PL STE H
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-7731
Practice Address - Country:US
Practice Address - Phone:980-245-2018
Practice Address - Fax:980-245-2036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-14
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment