| NPI | 1255753869 |
|---|---|
| Doing Business As | FREEDOM PHARMACY |
| Entity Type | Organization |
| Authorized Contact | COREY JAMES DUTEAU Member 802-655-3544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NY 033054) |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NH NR0990) | |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2021-09-16 |