Organization
FREEMAN PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARKEL KYLE FREEMAN RPH (OWNER)
(334) 727-0047
Entity
Organization
Contact information
Practice address
209 W MLK HWY, SUITE D, TUSKEGEE, AL 36083-2104
(334) 727-0047
(334) 727-0886
Mailing address
209 W MLK HWY, SUITE D, TUSKEGEE, AL 36083-2104
(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
3336C0004X
Compounding Pharmacy
12782
AL
3336S0011X
Specialty Pharmacy
12782
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100039123
—
AL
Enumeration date
12/22/2006
Last updated
10/02/2014
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