Provider Demographics
NPI:1942207972
Name:FRANKEL, ERIC HOWARD (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:HOWARD
Last Name:FRANKEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46499 S HIGHWAY 3
Mailing Address - Street 2:
Mailing Address - City:SAINT MARIES
Mailing Address - State:ID
Mailing Address - Zip Code:83861-9642
Mailing Address - Country:US
Mailing Address - Phone:208-689-3895
Mailing Address - Fax:888-711-1903
Practice Address - Street 1:5411 30TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79407-3408
Practice Address - Country:US
Practice Address - Phone:208-689-3895
Practice Address - Fax:888-711-1903
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-05
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3922681835N1003X
TX303261835P0018X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835N1003XPharmacy Service ProvidersPharmacistNutrition Support
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PH0301Medicare UPIN