Organization
FREEMAN PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK FREEMAN (OWNER/PHARMACIST)
(334) 727-0047
Entity
Organization
Contact information
Practice address
209 W MLK HWY, SUITE D, TUSKEGEE, AL 36083
(334) 727-0047
(334) 727-0886
Mailing address
209 W. MLK HWY., SUITE D, TUSKEGEE, AL 36083
(334) 727-0047
(334) 727-0886
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12782
AL
332B00000X
Durable Medical Equipment & Medical Supplies
12782
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009910826
—
AL
01
—
510G730009
MASS IMMUNIZATION PTAN
—
Enumeration date
12/26/2006
Last updated
11/04/2014
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