Doctor Name: | MICHAEL FREEMAN |
NPI Number: | 1780020511 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PT60010191 |
Business Practice Address: | 1 Va Ctr Augusta, ME - 043306719 |
Business Phone Number: | 2077400263 |
Business Fax Number: | |
Mailing Address: | 1 Va Ctr, AUGUSTA |
State: | ME |
Postal Code: | 043306719 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/20/2013 |
NPI Last Update Date: | 05/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | PT60010191 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |