Organization
FREEMAN PHARMACY 2 INC
Active
Other names
FREEMAN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FREEMAN (OWNER)
(334) 705-5555
Entity
Organization
Contact information
Practice address
3900 PEPPERELL PKWY STE 101, OPELIKA, AL 36801-6026
(334) 705-5555
(334) 705-5540
Mailing address
PO BOX 100, OPELIKA, AL 36803-0100
(334) 705-5555
(334) 705-5540
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
113298
AL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0136196
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/15/2009
Last updated
06/30/2010
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