Individual
SIMON FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1003 N MAIN ST, CROWN POINT, IN 46307-2712
(219) 663-6669
(219) 663-5987
Mailing address
1003 N MAIN ST, CROWN POINT, IN 46307-2712
(219) 663-6669
(219) 663-5987
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022590A
IN
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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