Organization
FREEMAN PHARMACY LLC
Active
Other names
Freeman Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE FREEMAN (OFFICER)
(620) 456-2220
Entity
Organization
Contact information
Practice address
100 E SPRING AVE, CONWAY SPRINGS, KS 67031-3101
(620) 456-2220
(620) 456-2231
Mailing address
PO BOX 5, CONWAY SPRINGS, KS 67031-0005
(620) 456-2220
(620) 456-2231
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-10386
KS
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200859750A
—
KS
01
—
2133594
PK
—
Enumeration date
01/25/2012
Last updated
02/17/2021
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