# FREEDOM PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013793264
- **Authorized official:** DR. LARRY DALE COLLINS JR. PHARMD (PIC/OWNER)
- **Authorized official phone:** (337) 287-9599

## Contact information

- **Practice address:** 3901 MAPLEWOOD DR, SULPHUR, LA 70663-6351
- **Practice address phone:** (337) 287-9599
- **Mailing address:** 3901 MAPLEWOOD DR, SULPHUR, LA 70663-6351
- **Mailing address phone:** (337) 287-9599
- **Mailing address fax:** (337) 287-9566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 09/05/2023
- **Last updated:** 09/25/2024