Organization
FREEDOM PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY DALE COLLINS JR. PHARMD (PIC/OWNER)
(337) 287-9599
Entity
Organization
Contact information
Practice address
3901 MAPLEWOOD DR, SULPHUR, LA 70663-6351
(337) 287-9599
Mailing address
3901 MAPLEWOOD DR, SULPHUR, LA 70663-6351
(337) 287-9599
(337) 287-9566
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
09/05/2023
Last updated
09/25/2024
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