Freeman Drug

LBN: Freeman Drug Co Inc
Freeman Drug is an health care organization with primary practice located at 104 S Main St , River Falls WI 54022-2423. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Freeman Drug Co Inc can be contacted via phone (715) 425-2255, or through Gavin, Leah via phone (715) 425-2255.

Contact Information

Primary practice address
104 S Main St River Falls WI 54022-2423
Phone: (715) 425-2255
Fax: (715) 425-2889
Website:
Map and Directions
Authorized official contact:
Name: Gavin, Leah
Phone: (715) 425-2255

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 4273-42 Wisconsin

Profile Details

NPI number 1073054169
LBN Legal business name Freeman Drug Co Inc
DBA Doing business as Freeman Drug
Authorized official Gavin, Leah
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2017
Last updated Mar 9th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073054169 NPPES
Other 2167822 PK
MEDICAID 33078400 PK

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