Matthew A Freise, R.PH, PHARM.D

NPI #1154622702 in Peoria, Illinois

Provider Information

NPI Number
1154622702
Entity Type
Individual
Name
Matthew A Freise, R.PH, PHARM.D
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
R.PH, PHARM.D
Enumeration Date
Nov 14, 2010
Last Updated
Nov 14, 2010

Practice Location

Address
221 NE GLEN OAK AVE
Address 2
DEPT 7300-PHARMACY
City
Peoria
ZIP Code
61636-0002
Phone
(309) 672-4968

Specialties & Taxonomy Codes

Specialty
Pharmacist

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