# FREEMANS COMPOUNDING PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Freeman's Compounding Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063826816
- **Authorized official:** LEA WOLSONCROFT (PRESIDENT)
- **Authorized official phone:** (205) 972-8328

## Contact information

- **Practice address:** 4268 CAHABA HEIGHTS CT STE 121, VESTAVIA, AL 35243-5711
- **Practice address phone:** (205) 972-8328
- **Practice address fax:** (205) 972-8270
- **Mailing address:** 4268 CAHABA HEIGHTS CT STE 121, VESTAVIA, AL 35243-5711
- **Mailing address phone:** (205) 972-8328
- **Mailing address fax:** (205) 972-8270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 114368 | AL | Yes |

## Other

- **Enumeration date:** 06/19/2014
- **Last updated:** 10/28/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2154858 | PK | — |