Provider Demographics
NPI:1386751345
Name:FREESE, ANNE M (PHARMD)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:M
Last Name:FREESE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:M
Other - Last Name:FULTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:711 E DAILY DR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-6075
Mailing Address - Country:US
Mailing Address - Phone:805-437-5652
Mailing Address - Fax:844-847-2997
Practice Address - Street 1:711 E DAILY DR
Practice Address - Street 2:SUITE 106
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-6075
Practice Address - Country:US
Practice Address - Phone:805-437-5652
Practice Address - Fax:844-847-2997
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57285183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist