# FREEDOM PHARMACY INC

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

## Provider details

- **NPI number:** 1801971031
- **Authorized official:** PAMELA KING (OPERATIONS MANAGER)
- **Authorized official phone:** (787) 844-2924

## Contact information

- **Practice address:** 3051 EL TUQUE INDUSTRIAL PARK, SUITES 102 AND 103, PONCE, PR 00728-2201
- **Practice address phone:** (787) 844-2924
- **Practice address fax:** (787) 812-8113
- **Mailing address:** 3051 EL TUQUE INDUSTRIAL PARK, SUITES 102 AND 103, PONCE, PR 00728-2201
- **Mailing address phone:** (787) 844-2924
- **Mailing address fax:** (787) 812-8113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 12F2339 | PR | Yes |
| 3336M0002X | Mail Order Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 06/08/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4025436 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |