Provider Demographics
NPI:1114720224
Name:FREEMAN, REGINALD BRANDON (PHARMD)
Entity type:Individual
Prefix:
First Name:REGINALD
Middle Name:BRANDON
Last Name:FREEMAN
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3349 INDEPENDENCE DR STE 102
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-8312
Mailing Address - Country:US
Mailing Address - Phone:256-338-7459
Mailing Address - Fax:855-862-0446
Practice Address - Street 1:3349 INDEPENDENCE DR STE 102
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-8312
Practice Address - Country:US
Practice Address - Phone:256-338-7459
Practice Address - Fax:855-862-0446
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15936183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist