Freedom Pharmacy Llc

LBN: Freedom Pharmacy Llc
Freedom Pharmacy Llc is an health care organization with primary practice located at 710 4Th St , Mena AR 71953-3314. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Freedom Pharmacy Llc can be contacted via phone (479) 437-3089, or through Erickson, Brian Walter via phone (479) 437-3089.

Contact Information

Primary practice address
710 4Th St Mena AR 71953-3314
Phone: (479) 437-3089
Fax: (479) 437-3842
Website:
Map and Directions
Authorized official contact:
Name: Erickson, Brian Walter PHARM.D.
Phone: (479) 437-3089

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X AR20630 Arkansas

Profile Details

NPI number 1316251432
LBN Legal business name Freedom Pharmacy Llc
DBA Doing business as
Authorized official Erickson, Brian Walter PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2010
Last updated Jul 10th, 2024 - about last year

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 1316251432 NPPES
Oklahoma MEDICAID 200917600A

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