Organization
FREEDOM PHARMACY, LLC
Active
Other names
Freedomed Pharmacy & Compounding Lab
Organization subpart
No
Provider details
NPI number
Authorized official
TRAN BUI (AUTHORIZED OFFICIAL/OWNER)
(813) 889-9779
Entity
Organization
Contact information
Practice address
5535 MEMORIAL HWY, TAMPA, FL 33634-7332
(813) 889-9779
(813) 889-9724
Mailing address
5535 MEMORIAL HWY, TAMPA, FL 33634-7332
(813) 889-9779
(813) 889-9724
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH22756
FL
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2009646
PK
—
Enumeration date
05/03/2007
Last updated
11/29/2017
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