Provider Demographics
NPI:1003238486
Name:FREYMUTH, RHONDA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:
Last Name:FREYMUTH
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5757 E STATE ROUTE 69
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86314-2801
Mailing Address - Country:US
Mailing Address - Phone:928-778-0364
Mailing Address - Fax:928-778-0536
Practice Address - Street 1:5757 E STATE ROUTE 69
Practice Address - Street 2:
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314-2801
Practice Address - Country:US
Practice Address - Phone:928-778-0364
Practice Address - Fax:928-778-0536
Is Sole Proprietor?:No
Enumeration Date:2014-01-20
Last Update Date:2014-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS014228183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist