Individual
MR. ALLEN DALE FREEMAN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
11400 W BROAD ST RD, GLEN ALLEN, VA 23060-5821
(804) 360-9782
Mailing address
11400 W BROAD ST, GLEN ALLEN, VA 23060-5821
(804) 360-9782
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202011045
VA
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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