Provider Demographics
NPI:1154798551
Name:FREELING, DOUGLAS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:
Last Name:FREELING
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 1:306 S TWIN OAKS VALLEY RD
Mailing Address - Street 2:RALPHS 683
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92078-4333
Mailing Address - Country:US
Mailing Address - Phone:760-891-0618
Mailing Address - Fax:760-891-0626
Practice Address - Street 1:306 S TWIN OAKS VALLEY RD
Practice Address - Street 2:RALPHS 683
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078-4333
Practice Address - Country:US
Practice Address - Phone:760-891-0618
Practice Address - Fax:760-891-0626
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-01
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53359183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist