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Organization

FREEMAN PHARMACY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LANCE FREEMAN (PRESIDENT)
(620) 886-5161
Entity
Organization

Contact information

Practice address
311 S ILIFF ST, MEDICINE LODGE, KS 67104-1905
(620) 886-5161
Mailing address
311 S ILIFF ST, MEDICINE LODGE, KS 67104-1905
(620) 886-5161

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
2-12998
KS
3336I0012X
Institutional Pharmacy
2-12998
KS
3336L0003X
Long Term Care Pharmacy
2-12998
KS
3336S0011X
Specialty Pharmacy
2-12998
KS

Other

Enumeration date
08/27/2013
Last updated
07/17/2026
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