Provider Demographics
NPI:1083215339
Name:FREY, STUART (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:
Last Name:FREY
Suffix:
Gender:M
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 1:10250 RICHARD CIR
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-7660
Mailing Address - Country:US
Mailing Address - Phone:469-223-3446
Mailing Address - Fax:
Practice Address - Street 1:802 EAST US HWY 80
Practice Address - Street 2:FORNEY
Practice Address - City:FORNEY
Practice Address - State:TEXAS
Practice Address - Zip Code:75126
Practice Address - Country:US
Practice Address - Phone:972-564-9160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-03
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39999183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist