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
07/11/2022
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