Provider Demographics
NPI:1215254636
Name:FREEMAN, BRIAN D (RPH)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:D
Last Name:FREEMAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 MARLOWE CIR
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-3904
Mailing Address - Country:US
Mailing Address - Phone:609-560-6949
Mailing Address - Fax:
Practice Address - Street 1:409 STOKES RD
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055-8475
Practice Address - Country:US
Practice Address - Phone:609-654-0440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-24
Last Update Date:2024-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01835400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist