Provider Demographics
NPI:1497443295
Name:FREYRE, OSCAR E (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:E
Last Name:FREYRE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8110 PARK LN APT 614
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-6094
Mailing Address - Country:US
Mailing Address - Phone:713-561-2515
Mailing Address - Fax:
Practice Address - Street 1:4321 STATE HIGHWAY 6 S
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-4506
Practice Address - Country:US
Practice Address - Phone:979-321-6560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-28
Last Update Date:2023-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69170183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist