Organization
PROFESSIONAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCH FREEMAN RPH (PHARMACIST)
(781) 235-8144
Entity
Organization
Contact information
Practice address
183 LINDEN ST, WELLESLEY, MA 02482-7909
(781) 235-8144
(781) 235-2315
Mailing address
183 LINDEN ST, WELLESLEY, MA 02482-7909
(781) 235-8144
(781) 235-2315
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
14459
MA
3336C0003X
Community/Retail Pharmacy
14459
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0412074
MA PROVIDER #
MA
01
—
22-14459
NADP#
MA
01
—
AP1925380
D.E.A.#
MA
Enumeration date
10/03/2006
Last updated
09/11/2025
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