Organization
FREEMANS COMPOUNDING PHARMACY INC
Active
Other names
Freeman's Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LEA WOLSONCROFT (PRESIDENT)
(205) 972-8328
Entity
Organization
Contact information
Practice address
4268 CAHABA HEIGHTS CT STE 121, VESTAVIA, AL 35243-5711
(205) 972-8328
(205) 972-8270
Mailing address
4268 CAHABA HEIGHTS CT STE 121, VESTAVIA, AL 35243-5711
(205) 972-8328
(205) 972-8270
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
114368
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154858
PK
—
Enumeration date
06/19/2014
Last updated
10/28/2015
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