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SAMUEL JOSEPH FREEMAN
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist >> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1134895634
Individual Registrant: SAMUEL JOSEPH FREEMAN
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1330 BIG A RD TOCCOA, GA 30577-6013 US
Tel: 706-886-3119 Fax: --
Tel: 706-886-3119 Fax: --
Contact information for business:
1330 BIG A RD TOCCOA, GA 30577-6013 US
Tel: 706-886-3119 Fax: --
Tel: 706-886-3119 Fax: --
Registration Information:
NPI: 1134895634
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1835P0018X | Pharmacy Service Providers Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | GA | 030947 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
