Organization
FREEDOM PHARMACY INC
Active
Other names
FREEDOM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAGRUT DESAI (PIC)
(973) 824-2627
Entity
Organization
Contact information
Practice address
953 FRELINGHUYSEN AVE, NEWARK, NJ 07114-2103
(973) 824-2627
(973) 824-2629
Mailing address
953 FRELINGHUYSEN AVE, NEWARK, NJ 07114-2103
(973) 824-2627
(973) 824-2629
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RS00676700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2055773
PK
—
Enumeration date
02/21/2006
Last updated
07/28/2014
Update your record
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