# CARA LOU FREY DBA RED CROSS DRUG STORE

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

## Provider details

- **NPI number:** 1538209580
- **Authorized official:** MR. JAMES WILLIAM FREY R.PH. (PHARMACIST)
- **Authorized official phone:** (419) 445-4496

## Contact information

- **Practice address:** 201 N DEFIANCE ST, ARCHBOLD, OH 43502-1160
- **Practice address phone:** (419) 445-4496
- **Practice address fax:** (419) 445-8231
- **Mailing address:** 201 N DEFIANCE ST, ARCHBOLD, OH 43502-1160
- **Mailing address phone:** (419) 445-4496
- **Mailing address fax:** (419) 445-8231

## Taxonomy

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

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3614814 | NCPDP | OH |
| 05 | — | 7227334 | — | OH |