Healthcare Provider Details

I. General information

NPI: 1922919273
Provider Name (Legal Business Name): PETER JOSEPH FREEMAN R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 MAIN ST
VAN BUREN ME
04785-1012
US

IV. Provider business mailing address

95 OLD WASHBURN RD
CARIBOU ME
04736-4141
US

V. Phone/Fax

Practice location:
  • Phone: 207-868-2242
  • Fax: 207-868-2156
Mailing address:
  • Phone: 207-868-2242
  • Fax: 207-868-2156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPR3908
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: