Organization
FREER PHARMACY LLC
Active
Other names
FREER PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE PENA RPH (OWNER/PIC)
(361) 394-7733
Entity
Organization
Contact information
Practice address
717 E. RILEY ST., SUITE C, FREER, TX 78357-1520
(361) 394-7733
(367) 394-7744
Mailing address
PO BOX 1520, FREER, TX 78357-1520
(361) 394-4433
(367) 394-7744
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
26728
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4554590
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/19/2009
Last updated
06/24/2011
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