Healthcare Provider Details

I. General information

NPI: 1548320898
Provider Name (Legal Business Name): CHRISTOPHER J FREEMAN RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2006
Last Update Date: 03/20/2024
Certification Date: 03/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 MAIN ST
MILL HALL PA
17751-1707
US

IV. Provider business mailing address

260 MAIN ST
MILL HALL PA
17751-1707
US

V. Phone/Fax

Practice location:
  • Phone: 570-726-3213
  • Fax: 570-726-3020
Mailing address:
  • Phone: 570-726-3213
  • Fax: 570-726-3020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP041879L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: