Organization
FREEDOM PHARMACY INC
Active
Other names
FREEDOM PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA KING (OPERATIONS MANAGER)
(787) 844-2924
Entity
Organization
Contact information
Practice address
3051 EL TUQUE INDUSTRIAL PARK, SUITES 102 AND 103, PONCE, PR 00728-2201
(787) 844-2924
(787) 812-8113
Mailing address
3051 EL TUQUE INDUSTRIAL PARK, SUITES 102 AND 103, PONCE, PR 00728-2201
(787) 844-2924
(787) 812-8113
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
12F2339
PR
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4025436
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/26/2006
Last updated
06/08/2010
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