# FREEMAN PHARMACY 2 INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FREEMAN PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558696146
- **Authorized official:** MARK FREEMAN (OWNER)
- **Authorized official phone:** (334) 705-5555

## Contact information

- **Practice address:** 3900 PEPPERELL PKWY STE 101, OPELIKA, AL 36801-6026
- **Practice address phone:** (334) 705-5555
- **Practice address fax:** (334) 705-5540
- **Mailing address:** PO BOX 100, OPELIKA, AL 36803-0100
- **Mailing address phone:** (334) 705-5555
- **Mailing address fax:** (334) 705-5540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 113298 | AL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/15/2009
- **Last updated:** 06/30/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0136196 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |