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General NPI Number Information
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NPI Number | 1073054169
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Entity Type | Organization
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Legal Business Name | FREEMAN DRUG, INC
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Dates
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Enumeration Date | 03/09/2017
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 104 S MAIN ST
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City | RIVER FALLS
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State | WI
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Zip | 54022-2423
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Country | US
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Telephone | 715-425-2255
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Fax | 715-425-2889
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Provider Business Mailing Address
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Address Line | 104 S MAIN ST
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City | RIVER FALLS
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State | WI
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Zip | 54022-2423
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Country | US
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Telephone | 715-425-2255
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Fax | 715-425-2889
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Authorized Official
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Title or Position | MANAGING PHARMACIST
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Name | LISA R HEIER
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Credential | PHARMD
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Telephone | 715-425-2255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 4273-42
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License Number State | WI
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