MEDICARE: HOWARD FREIMAN RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS17504	FL

General Provider Information

NPI Number	:	1669897393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOWARD FREIMAN RPH

Provider Business Mailing Address
First Line	:	2783 ELKCAM BLVD
Second Line	:
City	:	DELTONA
State	:	FL
Zip	:	32738-3427
Country	:	US
Telephone Number	:	386-789-3786
Fax Number	:	386-789-4938

Provider Business Practice Location Address
First Line	:	2783 ELKCAM BLVD
Second Line	:
City	:	DELTONA
State	:	FL
Zip	:	32738-3427
Country	:	US
Telephone Number	:	386-789-3786
Fax Number	:	386-789-4938

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2014
Last Update Date	:	03/05/2014

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