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Individual
MR. STANLEY L FREIBERG I
Active
Individual
MR. STANLEY L FREIBERG I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021068
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021068
PHARMACY LICENSE
NY
Enumeration date
02/20/2010
Last updated
02/20/2010
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