Provider Demographics
NPI:1811444540
Name:FREEMAN, ROBERT MARTIN (RPH)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:MARTIN
Last Name:FREEMAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:751 S SALISBURY BLVD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-5812
Mailing Address - Country:US
Mailing Address - Phone:443-260-2400
Mailing Address - Fax:443-260-2412
Practice Address - Street 1:751 S SALISBURY BLVD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-5812
Practice Address - Country:US
Practice Address - Phone:443-260-2400
Practice Address - Fax:443-260-2412
Is Sole Proprietor?:No
Enumeration Date:2016-09-11
Last Update Date:2016-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10274183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist