Provider Demographics
NPI:1871873687
Name:FREEMAN, PATRICIA R (RPH, PHD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:R
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:RPH, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:554 SPARROW LN
Mailing Address - Street 2:
Mailing Address - City:HARRODSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40330-9626
Mailing Address - Country:US
Mailing Address - Phone:859-333-4319
Mailing Address - Fax:
Practice Address - Street 1:554 SPARROW LN
Practice Address - Street 2:
Practice Address - City:HARRODSBURG
Practice Address - State:KY
Practice Address - Zip Code:40330-9626
Practice Address - Country:US
Practice Address - Phone:859-333-4319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-24
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY009565183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist