Freer Pharmacy LLC
Organization Active NPI Pharmacy · Freer, TX
NPI 1619206737 · NPPES record last updated Jun 24, 2011
Key facts
- NPI
- 1619206737
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- 26728 (TX)
- Legal business name
- FREER PHARMACY LLC
- Practice address
- 717 E. Riley St.
Suite C
Freer, TX 78357-1520 - Phone
- (361) 394-7733
- Fax
- (367) 394-7744
- NPI assigned
- Dec 19, 2009
- Organization subpart
- No
Authorized official
- Name
- Jose Pena, RPH
- Title
- Owner/Pic
- Phone
- (361) 394-7733
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 26728 | TX | Yes |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
717 E. Riley St.
Suite C
Freer, TX 78357-1520
Mailing address
PO Box 1520
Freer, TX 78357-1520
Phone (361) 394-4433
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4554590 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- FREER PHARMACY LLC
Other providers in Freer, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.