Provider Demographics
NPI:1033709993
Name:FREEMAN, DONALD EARL
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:EARL
Last Name:FREEMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 174
Mailing Address - Street 2:
Mailing Address - City:HYDE
Mailing Address - State:PA
Mailing Address - Zip Code:16843-0174
Mailing Address - Country:US
Mailing Address - Phone:814-762-4239
Mailing Address - Fax:
Practice Address - Street 1:360 THOMPSON ST
Practice Address - Street 2:
Practice Address - City:CURWENSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16833-1158
Practice Address - Country:US
Practice Address - Phone:814-236-1820
Practice Address - Fax:814-236-9071
Is Sole Proprietor?:No
Enumeration Date:2021-01-24
Last Update Date:2021-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP040002L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist